Individual
MALOCHEE JOSEPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, CADC
Contact information
Practice address
403 AZURE CT, STOCKBRIDGE, GA 30281-7005
(404) 405-1566
Mailing address
403 AZURE CT, STOCKBRIDGE, GA 30281-7005
(404) 405-1566
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
218074
GA
101YA0400X
Addiction (Substance Use Disorder) Counselor
4021
GA
101YP2500X
Professional Counselor
Primary
LPC005857
GA
Other
Enumeration date
08/09/2010
Last updated
08/09/2010
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