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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JACQUELINE JUANITA MADISON, DMIN,MA, CAPS, LPC

Active Sole Proprietor

DR. JACQUELINE JUANITA MADISON, DMIN,MA, CAPS, LPC is a Pastoral Counselor healthcare provider located in SAINT LOUIS, Missouri. NPI 1972040210 is currently active in the NPPES registry. Verify at CMS.

Pastoral Counselor · SAINT LOUIS, MO

Registration Details

NPI Number
1972040210
Provider Type
Individual
Gender
Female
NPI Issued
Jan 25, 2017 (9.3650455705185 yrs)
Last Updated
May 22, 2023
Licenses
178.012744 (IL)
1090
Sole Proprietor
Yes

Practice Information

Address
5655 KINGSBURY AVE APT 909
SAINT LOUIS, MO, 631121874
Browse MO providers · Browse ZIP 63112
Phone
3147400903
Primary Specialty
Pastoral Counselor
101YP1600X
Additional Specialty
Mental Health Counselor
Additional Specialty
Pastoral Counselor
Additional Specialty
Health & Wellness Coach
Additional Specialty
Health & Wellness Coach

Other Pastoral Counselor Providers in SAINT LOUIS, MO

Name Credential NPI
MARY C OBOWA LPC 1902893589
MR. ALLEN E SCHENK LPC 1659427599
DR. MARK LEE ROBINSON D. MIN. 1780892489
DR. MARY JO SCHNELLER PH.D. 1538586318
DEONDRA DAVIS 1376166462
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.