Individual
PAVEL MALM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCMHC
Contact information
Practice address
198 E MAIN ST STE 3, NEWPORT, VT 05855-4420
(802) 327-0077
Mailing address
PO BOX 622, NEWPORT, VT 05855-0622
(802) 673-6998
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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