Marcus L Maddox
Counselor, Mental Health in Mesa, AZ. Individual provider (NPI-1).
NPI number1932054343
StatusActive
Last updated in NPPESMar 2, 2026
Details
- NPI
- 1932054343
- Entity type
- Individual (NPI-1)
- Name
- Marcus L Maddox
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 2, 2026
- Certification date
- Mar 2, 2026
- Last updated
- Mar 2, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
11530 E Persimmon AveMesa, AZ 85212-1930
Phone 602-781-8561
Mailing address
11530 E Persimmon AveMesa, AZ 85212-1930
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