Individual
MS. RUTH E. ZUM MALLEN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.A. LPC NCC
Contact information
Practice address
8 E COTTONWOOD ST, COTTONWOOD, AZ 86326-4382
(928) 634-2236
(928) 634-8960
Mailing address
1588 CARPENTER LN, COTTONWOOD, AZ 86326-5061
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-10819
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
66218
NBCC
—
01
—
809907
AHCCCS PROVIDER ID
AZ
01
—
LPC-10819
STATE LICENSE
AZ
Enumeration date
05/01/2006
Last updated
07/08/2007
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