MRS. Madison Vanderlugt

NPI #1043994577 in Manning, South Carolina

Provider Information

NPI Number: 1043994577
Entity Type: Individual
Name: MRS. Madison Vanderlugt
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Enumeration Date: Jun 14, 2023
Last Updated: Mar 26, 2024

Practice Location

Address: 14 N CHURCH ST
City: Manning
State: South Carolina
ZIP Code: 29102-3502
Phone: (803) 435-2121

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Counselor - Professional — Professional	101YP2500X	Primary

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