Individual
MR. MICHAEL EARL MADSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
261 BELVOIR HWY, GREENVILLE, NC 27834-8193
(252) 695-6352
(252) 695-6359
Mailing address
2844 PRESTONWOOD DR, GRIMESLAND, NC 27837-8882
(435) 232-0819
(252) 695-6359
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
12130A
NC
106H00000X
Marriage & Family Therapist
2111
NC
Other
Enumeration date
04/13/2020
Last updated
04/27/2020
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