Individual
PATRICK MALLOY
Active
Individual
PATRICK MALLOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC, NCC
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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