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Individual

PAUL MALKASIAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.A.

Contact information

Practice address
5182 HORRY DR, MURRELLS INLET, SC 29576-5240
(843) 353-7388
Mailing address
1700 N OCEAN BLVD, MYRTLE BEACH, SC 29577-3216
(508) 269-2888
(508) 796-2420

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YM0800X
Mental Health Counselor
Primary
6387
SC
101YP2500X
Professional Counselor
6387
SC

Other

Enumeration date
09/15/2010
Last updated
03/17/2018
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