Individual
BAHAR MALLAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1 E BROAD ST STE 510, BETHLEHEM, PA 18018-5964
(610) 865-4300
(610) 865-4399
Mailing address
2300 TIMOTHY TRL S, EASTON, PA 18040-8464
(484) 546-9000
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC012533
PA
Other
Enumeration date
04/19/2021
Last updated
04/19/2021
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