Lance Madow
Mental Health Counselor in Atlanta, GA(View on Map)
Full Name
Lance Madow
NPI Number
1023797693
NPI Type
Individual Provider
Gender
Male
Enumeration Date
07/12/2023
Specialties
(Taxonomies)Contact
Information
Purpose
Mailing
Location
Address
245 E TRINITY PL UNIT 1423
3495 PIEDMONT RD NE
City
Decatur
Atlanta
State
GA
GA
Postal Code
30030-3493
30305
Country
US
US
Telephone Number
(727) 916-2257
(770) 758-7817
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 07/12/2023