Maddox, Connie

Maddox, Connie is an individual health care provider with primary practice located at 17816 Bushard St , Fountain Valley CA 92708-4560. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Maddox, Connie can be contacted via phone (714) 962-3301.

Contact Information

Primary practice address
17816 Bushard St Fountain Valley CA 92708-4560
Phone: (714) 962-3301
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X California

Profile Details

NPI number 1467313569
LBN Legal business name Maddox, Connie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 19th, 2025
Last updated Nov 19th, 2025 - 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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