1770623407 Anita Johanson Maddox, LCPC
Developmental Therapist
Active
Basic Information
- Full Name
- Anita Johanson Maddox, LCPC
- Gender
- Female
- Enumeration Date
- February 8, 2007
- Last Update
- September 21, 2010
Practice Location
- Address
- 89 CEDAR AVE
LAKE VILLA, IL 600468411 - Phone
- (847) 265-7300
- Fax
- (847) 265-7301
Mailing Address
- Address
- PO BOX 764
LAKE VILLA, IL 600460764 - Phone
- (847) 265-7300
- Fax
- (847) 265-7301
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Professional Counselor Professional | 101YP2500X | Counselor | 180004644 | IL | No |
| Developmental Therapist | 222Q00000X | Developmental Therapist | AM47190798P | IL | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04932271 | 01 | IL | BLUE SHIELD |
| 710957905 | 01 | IL | FEIN |
Frequently Asked Questions
What is Anita Johanson Maddox, LCPC's NPI number?
Anita Johanson Maddox, LCPC's NPI number is 1770623407.
Which doctor has NPI number 1770623407?
The doctor with NPI number 1770623407 is Anita Johanson Maddox, LCPC.
What is Anita Johanson Maddox, LCPC's practice address?
Anita Johanson Maddox, LCPC's practice address is 89 CEDAR AVE, LAKE VILLA, IL, 600468411.
Which doctor practices at 89 CEDAR AVE, LAKE VILLA, IL, 600468411?
Anita Johanson Maddox, LCPC practices at 89 CEDAR AVE, LAKE VILLA, IL, 600468411.
What is Anita Johanson Maddox, LCPC's mailing address?
Anita Johanson Maddox, LCPC's mailing address is PO BOX 764, LAKE VILLA, IL, 600460764.
What is Anita Johanson Maddox, LCPC's phone number?
Anita Johanson Maddox, LCPC's phone number is (847) 265-7300.
Who is (847) 265-7300?
(847) 265-7300 is the phone number for Anita Johanson Maddox, LCPC.
What is Anita Johanson Maddox, LCPC's specialty?
Anita Johanson Maddox, LCPC's specialty is Developmental Therapist.
What type of doctor is Anita Johanson Maddox, LCPC?
Anita Johanson Maddox, LCPC is a Developmental Therapist.
Is Anita Johanson Maddox, LCPC a Developmental Therapist?
Yes, Anita Johanson Maddox, LCPC is a Developmental Therapist.
Is Anita Johanson Maddox, LCPC still practicing?
Yes, Anita Johanson Maddox, LCPC is currently practicing.
Is Anita Johanson Maddox, LCPC accepting new patients?
Anita Johanson Maddox, LCPC may be accepting new patients. Please call their office at (847) 265-7300 to inquire about availability.
Is NPI 1770623407 still active?
Yes, NPI 1770623407 is currently active.
Where does Anita Johanson Maddox, LCPC practice?
Anita Johanson Maddox, LCPC practices in LAKE VILLA, IL.
Is Anita Johanson Maddox, LCPC a male or female doctor?
Anita Johanson Maddox, LCPC is a female doctor.