Individual
SARA J MALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, CSAC
Contact information
Practice address
903 MINERAL POINT AVE, JANESVILLE, WI 53548-2970
(608) 756-5555
(608) 756-0174
Mailing address
903 MINERAL POINT AVE, JANESVILLE, WI 53548-2970
(608) 756-5555
(608) 756-0174
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
16134-131
WI
101YA0400X
Addiction (Substance Use Disorder) Counselor
16298-132
WI
101YA0400X
Addiction (Substance Use Disorder) Counselor
17640-130
WI
101YP2500X
Professional Counselor
3014-226
WI
101YP2500X
Professional Counselor
Primary
6969-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1366892044
BCBSWI
WI
05
—
1366892044
—
WI
01
—
ROGERSAR
MERCYCARE INSURANCE
WI
Enumeration date
06/14/2016
Last updated
11/08/2018
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