Individual
PATRICK MALLOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC, NCC
Contact information
Practice address
3725 NATIONAL DR, SUITE 220, RALEIGH, NC 27612-4879
(919) 781-8370
(919) 781-2266
Mailing address
3725 NATIONAL DR, SUITE 220, RALEIGH, NC 27612-4879
(919) 781-8370
(919) 781-2266
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
S4716
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007494821
AETNA
—
01
—
141X2
BLUE CROSS BLUE SHIELD
NC
05
—
6102714
—
NC
Enumeration date
10/06/2006
Last updated
06/06/2023
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