Benjamin Maddock
Benjamin Maddock is a Mental Health Counselor in Bloomington, Indiana. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
1117 N Jackson StBloomington, IN 47404-3385
Phone: (812) 322-2817
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1821796368 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | February 22, 2023 |
| Last updated in NPPES | February 22, 2023 |
| Certification date | February 22, 2023 |
| Mailing address | 800 N Smith Rd Apt 7b, Bloomington, IN 47408-2934 |
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