Provider Demographics
NPI:1508164385
Name:MADDEN, APRIL ANN (AMFT 143768)
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:ANN
Last Name:MADDEN
Suffix:
Gender:F
Credentials:AMFT 143768
Other - Prefix:
Other - First Name:APRIL
Other - Middle Name:ANN
Other - Last Name:MADDEN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:APCC 15677
Mailing Address - Street 1:1480 FERN CANYON RD
Mailing Address - Street 2:
Mailing Address - City:PASO ROBLES
Mailing Address - State:CA
Mailing Address - Zip Code:93446-2084
Mailing Address - Country:US
Mailing Address - Phone:805-674-5029
Mailing Address - Fax:
Practice Address - Street 1:2180 JOHNSON AVE
Practice Address - Street 2:
Practice Address - City:SAN LUIS OBISPO
Practice Address - State:CA
Practice Address - Zip Code:93401-4513
Practice Address - Country:US
Practice Address - Phone:805-788-2159
Practice Address - Fax:805-781-4866
Is Sole Proprietor?:No
Enumeration Date:2011-03-03
Last Update Date:2024-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YA0400X
CA15677101YP2500X
CA143768106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional