Male or Other

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)

Code

101YM0800X

Primary Taxonomy

Yes

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

Provider Address

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