Individual provider · Type 1 NPI

Madison Moen

Mental Health Counselor · Conway, SC

NPI number 1730757568 Active

Practice location

164 Waccamaw Medical Park Dr
Conway, SC 29526-8903

Call (843) 347-5060 Map

Fax (843) 347-3959

Mailing address

3672 Clay Pond Village Ln Apt 8
Myrtle Beach, SC 29579-7407

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1730757568

Madison Moen's National Provider Identifier is 1730757568, issued on Jun 17, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Conway, SC. The record was last updated on Jun 17, 2021.