Doctor Name: | MR. GEORGE MADDOCKS |
NPI Number: | 1467835819 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPC, NBCC |
License Number: | 1816 |
Business Practice Address: | 42334 Deluxe Plz Suite 2 Hammond, LA - 704031237 |
Business Phone Number: | 9856625520 |
Business Fax Number: | 9856625525 |
Mailing Address: | 15238 Wax Myrtle Ave, BATON ROUGE |
State: | LA |
Postal Code: | 708174626 |
Phone Number: | 2252295004 |
Fax Number: | 2257568601 |
NPI Enumeration Date: | 07/02/2015 |
NPI Last Update Date: | 07/06/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 1816 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |