ANGELLO MADISON

SUFFOLK, VA
NPI1760638043
Professional NameANGELLO MADISON
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy251S00000X 
(Licence: VA  07010007132)
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2008-08-18
Last Update Date2021-07-09
Business Address
Mr. ANGELLO MADISON LPC
114 N MAIN ST STE 102A
SUFFOLK, VA 23434-4564
Phone number: 757-921-2762
Mailing Address
Mr. ANGELLO MADISON LPC
114 N MAIN ST STE 102A
SUFFOLK, VA 23434-4564
Phone number: 757-921-2762