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Individual

DR. MADISON FARRELL III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD, LPC

Contact information

Practice address
709 OLD TROLLEY RD, SUMMERVILLE, SC 29485-5203
(843) 900-6767
(843) 285-5916
Mailing address
709 OLD TROLLEY RD, SUMMERVILLE, SC 29485-5203
(843) 900-6767
(843) 285-5916

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4628
SC

Other

Enumeration date
05/14/2006
Last updated
03/06/2024
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