JACQUELINE JUANITA MADISON

SAINT LOUIS, MO
NPI1972040210
Professional NameJACQUELINE J MADISON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YP1600X Counselor, Pastoral
Additional Taxonomies101Y00000X Counselor
101YM0800X Counselor, Mental Health
(Licence: IL  178.012744)
101YP1600X Counselor, Pastoral
171400000X Health & Wellness Coach
171400000X Health & Wellness Coach
(Licence:   1090)
Enumeration Date2017-01-25
Last Update Date2023-05-22
Business Address
Dr. JACQUELINE JUANITA MADISON DMin,MA, CAPS, LPC
5655 KINGSBURY AVE APT 909
SAINT LOUIS, MO 63112-1874
Phone number: 314-740-0903
Mailing Address
Dr. JACQUELINE JUANITA MADISON DMin,MA, CAPS, LPC
5343 BELLEVILLE CROSSING ST # 2079
BELLEVILLE, IL 62226-3108
Phone number: 314-740-0903