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SHERRY ELLEN ACKESON-MADDEN LMFT

Mental Health >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1295871135

Individual Registrant:
 SHERRY ELLEN ACKESON-MADDEN LMFT
Gender: F
Sole Proprietor

Location and contact information for practice:
124 E PINE ST FORT BRAGG FORT BRAGG, CA 95437-3222 US
Tel: 707-964-4376  Fax: 707-964-4438

Contact information for business:
PO BOX 1484  FORT BRAGG, CA 95437-1484 US
Tel: 707-964-2378  Fax: --

Registration Information:
NPI: 1295871135
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YM0800XBehavioral Health & Social Service Providers
Counselor
Mental Health
CAMFC35528

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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