Madison, Kuumba

Madison, Kuumba is an individual health care provider with primary practice located at 1776 Ygnacio Valley Rd Ste 206 , Walnut Creek CA 94598-3125. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Licensed Psychiatric Technician, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Madison, Kuumba can be contacted via phone (707) 208-2051.

Contact Information

Primary practice address
1776 Ygnacio Valley Rd Ste 206 Walnut Creek CA 94598-3125
Phone: (707) 208-2051
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Psychiatric Technician 167G00000X 32557 California
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 14121 California

Profile Details

NPI number 1265001861
LBN Legal business name Madison, Kuumba
Credentials LPT, RADT II
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2021
Last updated Oct 6th, 2023 - about last year

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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