Madison, Angello

Madison, Angello is an sole proprietor health care provider with primary practice located at 114 N Main St Ste 102A , Suffolk VA 23434-4564. He recently has 2 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Behavioral Health & Social Service Providers / Mental Health. Agencies / Community/Behavioral Health is his primary health care specialty. Madison, Angello can be contacted via phone (757) 921-2762.

Contact Information

Primary practice address
114 N Main St Ste 102A Suffolk VA 23434-4564
Phone: (757) 921-2762
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X 07010007132 Virginia
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1760638043
LBN Legal business name Madison, Angello
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 18th, 2008
Last updated Jul 9th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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