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Individual
DONTE JOHNATHAN MALLOY
Active
Individual
DONTE JOHNATHAN MALLOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NULL
171M00000X
Case Manager/Care Coordinator
—
NULL
225400000X
Rehabilitation Practitioner
Primary
—
CA
251S00000X
Community/Behavioral Health Agency
—
NULL
Other
Enumeration date
02/25/2019
Last updated
09/04/2025
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