SearchOhio101YM0800X

Madison Dave, BS/QMHS

NPI 1205501707 · on the registry since 2021

Practice

Address
24 North Front Street
Burbank, OH 44214
Phone
(330) 887-2231
Organisation at this address
Evergreen Counseling Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-08-18

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 Ohio