Individual
MS. AMY CATHERINE MALONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
1141 WHITNEY AVE, GRETNA, LA 70056-5011
(504) 347-1120
Mailing address
1141 WHITNEY AVE, GRETNA, LA 70056-5011
(504) 347-1120
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15576
LA
Other
Enumeration date
10/22/2019
Last updated
10/22/2019
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