Individual provider · Type 1 NPI

Malissa Ann Quinlan Farnum, CSAC-S

Addiction (Substance Use Disorder) Counselor · South Prince George, VA

NPI number 1306567920 Active

Practice location

10543 S Crater Rd
South Prince George, VA 23805-7333

Call (804) 223-5141 Map

Other practice locations

  • 10543 S Crater Rd, South Prince George, VA 23805-7333 · (804) 223-5141

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X0709024879 (VA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1306567920

Malissa Ann Quinlan Farnum, CSAC-S's National Provider Identifier is 1306567920, issued on Sep 12, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in South Prince George, VA. The record was last updated on Sep 12, 2022.