Most Relevant Information
Provider Data
| NPI Number: | 1003452988 |
| Provider Name: | MADELINE MORAN |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | 8131 |
Most Important Dates
| Enumeration Date: | 11/26/2019 |
| Last Updated: | 10/16/2024 |
Provider Practice Location
1817 PICKENS ST
COLUMBIA
SC
292012630
Practice Location Phone/Fax
| Phone: | 8033939710 |
| Fax: |
Provider Mailing Location
1817 PICKENS ST
COLUMBIA
SC
292012630
Provider Mailing Phone/Fax
| Phone: | 8439970429 |
| Fax: |