Provider Demographics
NPI:1902584774
Name:YOULDEN, MADISON (SWLC)
Entity Type:Individual
Prefix:
First Name:MADISON
Middle Name:
Last Name:YOULDEN
Suffix:
Gender:F
Credentials:SWLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 N WILLSON AVE STE 3005-10
Mailing Address - Street 2:
Mailing Address - City:BOZEMAN
Mailing Address - State:MT
Mailing Address - Zip Code:59715-3537
Mailing Address - Country:US
Mailing Address - Phone:630-281-0253
Mailing Address - Fax:
Practice Address - Street 1:42 HILLTOP RD
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59105-2351
Practice Address - Country:US
Practice Address - Phone:406-413-5815
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-10
Last Update Date:2023-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT640891041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical