| NPI | 1760638043 |
|---|---|
| Professional Name | ANGELLO MADISON |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 07010007132) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2008-08-18 |
| Last Update Date | 2021-07-09 |