Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Malissa Ann Quinlan Farnum, CSAC-S

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1306567920

Mrs. Malissa Ann Quinlan Farnum, CSAC-S is an Addiction (Substance Use Disorder) Counselor in South Prince George, Virginia. Works from 2 locations. Licensed in Virginia.

Licensed in
VA
In the registry since
2022
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Practice location Address checks out

10543 S Crater Rd
South Prince George, VA 23805-7333
Phone: (804) 223-5141
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

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

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 0709024879 (VA)

Record details

NPI number1306567920
Entity typeIndividual (Type 1)
GenderFemale
Credentials CSAC-S
Sole proprietorNo
NPI enumeratedSeptember 12, 2022
Last updated in NPPESSeptember 12, 2022
Certification dateSeptember 12, 2022

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