Provider Demographics
NPI:1174786008
Name:MADDEN, ALISON (LMFT)
Entity type:Individual
Prefix:MS
First Name:ALISON
Middle Name:
Last Name:MADDEN
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18032 LEMON DR STE C-158
Mailing Address - Street 2:
Mailing Address - City:YORBA LINDA
Mailing Address - State:CA
Mailing Address - Zip Code:92886-3386
Mailing Address - Country:US
Mailing Address - Phone:714-485-5614
Mailing Address - Fax:
Practice Address - Street 1:18032 LEMON DR STE C-158
Practice Address - Street 2:
Practice Address - City:YORBA LINDA
Practice Address - State:CA
Practice Address - Zip Code:92886-3386
Practice Address - Country:US
Practice Address - Phone:714-485-5614
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-10
Last Update Date:2024-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA45968101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAW13604Medicare UPIN