Individual
KELSEY OLIVIA MALONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
555 N PERRIS BLVD BLDG D, PERRIS, CA 92571-2811
(951) 436-5325
Mailing address
555 N PERRIS BLVD BLDG D, PERRIS, CA 92571-2811
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPCC16729
CA
Other
Enumeration date
01/11/2019
Last updated
09/25/2024
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