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ANGELLO MADISON, LPC

LPC

Community/Behavioral Health Agency

NPI: 1760638043IndividualAccepts Medicare

Specialties, Licenses & Credentials

Community/Behavioral Health AgencyPrimary

Community/Behavioral Health

Code: 251S00000X

07010007132(VA)
Mental Health Counselor

Counselor — Mental Health

Code: 101YM0800X

Education

OTHER

Class of 2006

Contact & Hours

Address
114 N MAIN ST STE 102A
SUFFOLK, VA 23434

Quick Facts

NPI
1760638043
Entity Type
Individual
Gender
Male
Medicare
Accepted
Specialties
2
Locations
1
Years in Practice
20

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