Maddox, Tai

Maddox, Tai is an individual health care provider with primary practice located at 308 E San Jacinto Ave , Perris CA 92570-2878. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Maddox, Tai can be contacted via phone (951) 775-2493.

Contact Information

Primary practice address
308 E San Jacinto Ave Perris CA 92570-2878
Phone: (951) 775-2493
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 116079 California

Profile Details

NPI number 1063956670
LBN Legal business name Maddox, Tai
Credentials LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2016
Last updated May 28th, 2020 - about 6 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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