| NPI | 1972040210 |
|---|---|
| Professional Name | JACQUELINE J MADISON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP1600X Counselor Pastoral |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor Mental Health (Licence: IL 178.012744) | |
| 101YP1600X Counselor Pastoral | |
| 171400000X | |
| 171400000X (Licence: 1090) | |
| Enumeration Date | 2017-01-25 |
| Last Update Date | 2023-05-22 |