Provider Demographics
NPI:1780382234
Name:MADDUX, GABRIELLE (MA LPC NCC CAADC)
Entity type:Individual
Prefix:MRS
First Name:GABRIELLE
Middle Name:
Last Name:MADDUX
Suffix:
Gender:F
Credentials:MA LPC NCC CAADC
Other - Prefix:
Other - First Name:GABRIELLA
Other - Middle Name:
Other - Last Name:DEBACH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:171 PARK VIEW RD
Mailing Address - Street 2:
Mailing Address - City:ELYSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17824-7153
Mailing Address - Country:US
Mailing Address - Phone:570-898-4785
Mailing Address - Fax:
Practice Address - Street 1:171 PARK VIEW RD
Practice Address - Street 2:
Practice Address - City:ELYSBURG
Practice Address - State:PA
Practice Address - Zip Code:17824-7153
Practice Address - Country:US
Practice Address - Phone:570-898-4785
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-22
Last Update Date:2023-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty