Adams, Madalyne Suzanne

Adams, Madalyne Suzanne is an individual health care provider with primary practice located at 12145 Elm St , Princess Anne MD 21853-1358. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Adams, Madalyne Suzanne can be contacted via phone (410) 651-2204.

Contact Information

Primary practice address
12145 Elm St Princess Anne MD 21853-1358
Phone: (410) 651-2204
Fax: (410) 651-0790
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X LGP9996 Maryland
Behavioral Health & Social Service Providers / Professional 101YP2500X LC13021 Maryland

Profile Details

NPI number 1447886205
LBN Legal business name Adams, Madalyne Suzanne
Credentials LCPC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 12th, 2020
Last updated Aug 25th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447886205 NPPES
Maryland MEDICAID 119591300

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