Search › Missouri › 101YP1600X
Jacqueline Madison, DMIN,MA, CAPS, LPC
NPI 1972040210 · on the registry since 2017 · sole proprietor
Practice
- Address
- 5655 Kingsbury Ave Apt 909
Saint Louis, MO 63112 - Phone
- (314) 740-0903
Additional practice sites
- 2 Agnes Dr, Cahokia, IL
Registry record
- Primary taxonomy
- 101YP1600X
101YP1600X
- Also registered as
- 101Y00000X
101YM0800X
101YP1600X
171400000X
171400000X - Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-05-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri