Provider Demographics
NPI:1841887684
Name:WEBB, MADISON (CGC)
Entity type:Individual
Prefix:
First Name:MADISON
Middle Name:
Last Name:WEBB
Suffix:
Gender:F
Credentials:CGC
Other - Prefix:
Other - First Name:MADISON
Other - Middle Name:
Other - Last Name:KEMBEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:900 STEVENS DR STE 204
Mailing Address - Street 2:
Mailing Address - City:RICHLAND
Mailing Address - State:WA
Mailing Address - Zip Code:99352-3536
Mailing Address - Country:US
Mailing Address - Phone:509-946-8696
Mailing Address - Fax:
Practice Address - Street 1:900 STEVENS DR STE 204
Practice Address - Street 2:
Practice Address - City:RICHLAND
Practice Address - State:WA
Practice Address - Zip Code:99352-3536
Practice Address - Country:US
Practice Address - Phone:509-946-8696
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-28
Last Update Date:2024-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS