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Individual
PAVEL MALM
Active
Individual
PAVEL MALM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCMHC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0680000594
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1009126
—
VT
01
—
59161
BCBS
VT
Enumeration date
09/11/2006
Last updated
03/04/2026
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