Organization
MADISON ENTERPRISES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELLO MADISON SR. LPC (PRESIDENT/CEO)
(757) 921-2762
Entity
Organization
Contact information
Practice address
114 N MAIN ST STE 102A, SUFFOLK, VA 23434-4564
(757) 921-2762
(757) 257-1011
Mailing address
114 N MAIN ST STE 102A, SUFFOLK, VA 23434-4564
(757) 921-2762
(757) 257-1011
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701007132
VA
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
06/23/2017
Last updated
03/01/2024
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