Individual
MALACHI WALTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, LCADC
Contact information
Practice address
971 KENYON AVE, PLAINFIELD, NJ 07060-2415
(973) 981-8068
Mailing address
971 KENYON AVE, PLAINFIELD, NJ 07060-2415
(973) 981-8068
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00120000
NJ
101YP2500X
Professional Counselor
Primary
37PC00412500
NJ
Other
Enumeration date
09/22/2015
Last updated
09/22/2015
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