Individual
MADELINE CENTRACCHIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
1122 CHUCK DAWLEY BLVD BLDG B, MOUNT PLEASANT, SC 29464-4183
(843) 796-0681
Mailing address
30 SALVIA CT, MURRELLS INLET, SC 29576-6553
(843) 796-0681
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
11592
SC
Other
Enumeration date
01/12/2026
Last updated
01/12/2026
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