Provider Demographics
NPI:1922691377
Name:ABB, MADELFIA ALMEDA (LCMHCA)
Entity Type:Individual
Prefix:MRS
First Name:MADELFIA
Middle Name:ALMEDA
Last Name:ABB
Suffix:
Gender:F
Credentials:LCMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1502 W NC HIGHWAY 54 STE 603
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27707-5599
Mailing Address - Country:US
Mailing Address - Phone:919-213-1584
Mailing Address - Fax:919-419-3110
Practice Address - Street 1:1502 W NC HIGHWAY 54 STE 603
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27707-5599
Practice Address - Country:US
Practice Address - Phone:919-213-1584
Practice Address - Fax:919-419-3110
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-17
Last Update Date:2022-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA16286101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health