Madden, Jamie

Madden, Jamie is an individual health care provider with primary practice located at 134 W 1180 N Ste 5 , Tooele UT 84074-1483. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Madden, Jamie can be contacted via phone (435) 248-0333.

Contact Information

Primary practice address
134 W 1180 N Ste 5 Tooele UT 84074-1483
Phone: (435) 248-0333
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1912542036
LBN Legal business name Madden, Jamie
Credentials MS, ADC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2019
Last updated Jul 6th, 2023 - 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 1912542036 NPPES
South Carolina MEDICAID AD01AK

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