Provider Demographics
NPI:1619757432
Name:MCFADDEN, TORRANCE T
Entity Type:Individual
Prefix:
First Name:TORRANCE
Middle Name:T
Last Name:MCFADDEN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6010 MILLSTONE DR
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27713-8873
Mailing Address - Country:US
Mailing Address - Phone:191-973-0080
Mailing Address - Fax:
Practice Address - Street 1:902 FAYETTEVILLE ST STE 108
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27701-3916
Practice Address - Country:US
Practice Address - Phone:919-730-0802
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-29
Last Update Date:2023-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health