MALISSA ANN QUINLAN FARNUM

SOUTH PRINCE GEORGE, VA
NPI1306567920
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: VA  0709024879)
Enumeration Date2022-09-12
Last Update Date2022-09-12
Business Address
Mrs. MALISSA ANN QUINLAN FARNUM CSAC-S
10543 S CRATER RD
SOUTH PRINCE GEORGE, VA 23805-7333
Phone number: 804-223-5141
Mailing Address
Mrs. MALISSA ANN QUINLAN FARNUM CSAC-S
10543 S CRATER RD
SOUTH PRINCE GEORGE, VA 23805-7333
Phone number: 180-422-3514