MRS. MALISSA ANN QUINLAN FARNUM CSAC-S
NPI 1306567920
Counselor - Addiction (Substance Use Disorder) in South Prince George, VA

Active since September 12, 2022
10543 S CRATER RD, SOUTH PRINCE GEORGE, VA 23805(804) 223-5141 Get Directions Write a Review

NPPES record last updated: September 12, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Malissa Ann Quinlan Farnum Csac-s NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. MALISSA ANN QUINLAN FARNUM CSAC-S (NPI 1306567920) is an individual addiction (substance use disorder) provider in South Prince George, Virginia, licensed in Virginia (0709024879) and active in the NPI registry since September 2022. She maintains a secondary practice location in South Prince George.

NPPES Registry Identity

NPI1306567920
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMRS. MALISSA ANN QUINLAN FARNUMCredential: CSAC-S
Location Address10543 S CRATER RDSouth Prince George, VA 23805-7333
Mailing Address10543 S Crater RdSouth Prince George, VA 23805-7333 · (180) 422-3514
Sole ProprietorNo
Enumeration DateSeptember 12, 2022
NPPES CertifiedSeptember 12, 2022
NPI 1306567920 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in VA · 0709024879
10543 S CRATER RD, South Prince George, VA 23805

Secondary Practice Location 1

Location 110543 S Crater RdSouth Prince George, VA 23805-7333 · Phone (804) 223-5141 · Fax (804) 431-5820

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Addiction (Substance Use Disorder))
10543 S CRATER RD
SOUTH PRINCE GEORGE, VA 23805
Licensed Practical Nurse
10543 S CRATER RD
SOUTH PRINCE GEORGE, VA 23805
Nurse's Aide
10543 S CRATER RD
SOUTH PRINCE GEORGE, VA 23805
Licensed Practical Nurse
10543 S CRATER RD
SOUTH PRINCE GEORGE, VA 23805
Counselor (Addiction (Substance Use Disorder))
10543 S CRATER RD
SOUTH PRINCE GEORGE, VA 23805
Licensed Practical Nurse
10543 S CRATER RD
SOUTH PRINCE GEORGE, VA 23805
Counselor (Addiction (Substance Use Disorder))
10543 S CRATER RD
SOUTH PRINCE GEORGE, VA 23805
Licensed Practical Nurse
10543 S CRATER RD
SOUTH PRINCE GEORGE, VA 23805

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Malissa Quinlan Farnum's NPI number?

The NPI number for Malissa Quinlan Farnum is 1306567920. It was assigned to this individual provider in the NPPES registry on September 12, 2022.

Where is Malissa Quinlan Farnum located?

Malissa Quinlan Farnum practices at 10543 S Crater Rd, South Prince George, VA 23805. The listed phone number is (804) 223-5141.

What is Malissa Quinlan Farnum's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Malissa Quinlan Farnum was last updated on September 12, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.