Individual
TIMOTHY T MALONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BS
Contact information
Practice address
2718 WESLEY ST STE C, GREENVILLE, TX 75401-4179
(903) 455-9090
Mailing address
2718 WESLEY ST STE C, GREENVILLE, TX 75401-4179
(903) 455-9090
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
10/21/2008
Last updated
10/21/2008
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