Organization
MALONE COUNSELING SERVICE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FREDERICK JAMES MALONE LCSW (OWNER)
(208) 924-5364
Entity
Organization
Contact information
Practice address
155 MAIN STREET, #C, OROFINO, ID 83544
(208) 476-4230
(208) 476-4281
Mailing address
PO BOX 324, 155 MAIN ST #C, OROFINO, ID 83544-0324
(208) 476-4230
(208) 476-4281
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
12/28/2009
Last updated
12/28/2009
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