Individual
MR. PAUL MALVAROSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMHC, LPC
Contact information
Practice address
360 N IRBY ST, FLORENCE, SC 29501
(843) 667-9414
(843) 667-1362
Mailing address
360 N IRBY ST, FLORENCE, SC 29501-2808
(843) 667-9414
(843) 667-1362
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
Primary
6606
SC
Other
Enumeration date
05/05/2014
Last updated
11/25/2019
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