Judge, Madonna Rae

Judge, Madonna Rae is an individual health care provider with primary practice located at 9409 N Haggerty Rd , Plymouth MI 48170-4696. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Judge, Madonna Rae can be contacted via phone (734) 559-3540.

Contact Information

Primary practice address
9409 N Haggerty Rd Plymouth MI 48170-4696
Phone: (734) 559-3540
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 6451019574 Michigan
Behavioral Health & Social Service Providers / Counselor 101Y00000X 6451019574 Michigan

Profile Details

NPI number 1407504814
LBN Legal business name Judge, Madonna Rae
Credentials LLPC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2022
Last updated Jul 18th, 2023 - about 2 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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