Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Madedeh Alfogbanah

Individual provider Mental Health Counselor · NPI 1164573135

Madedeh Alfogbanah is a Mental Health Counselor in Petaluma, California. Practices as a sole proprietor. Registered with an NPI since 2007.

In the registry since
2007
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Practice location Address checks out

1516 Wase Madison St
Petaluma, CA 94954
Phone: (707) 541-9926
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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 number1164573135
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 16, 2007
Last updated in NPPESJuly 8, 2007

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