Individual
MADELEINE VICECONTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2006 BREMO RD STE 101, RICHMOND, VA 23226-2438
(804) 918-1115
Mailing address
2006 BREMO RD STE 101, RICHMOND, VA 23226-2438
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
11/12/2024
Last updated
11/12/2024
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