Provider Demographics
NPI:1891719043
Name:MADDEN, BARBARA SUZANNE (BA, QMHP, CADCI)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:SUZANNE
Last Name:MADDEN
Suffix:
Gender:F
Credentials:BA, QMHP, CADCI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 K AVE
Mailing Address - Street 2:
Mailing Address - City:LA GRANDE
Mailing Address - State:OR
Mailing Address - Zip Code:97850-2131
Mailing Address - Country:US
Mailing Address - Phone:541-962-8873
Mailing Address - Fax:541-963-5272
Practice Address - Street 1:1100 K AVE
Practice Address - Street 2:
Practice Address - City:LA GRANDE
Practice Address - State:OR
Practice Address - Zip Code:97850-2131
Practice Address - Country:US
Practice Address - Phone:541-962-8873
Practice Address - Fax:541-963-5272
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health