Individual
CYNTHIA JOAN MALLOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
1200 N WEST AVE, SUITE 400, JACKSON, MI 49202
(517) 789-5581
(517) 796-4561
Mailing address
1200 N WEST AVE, SUITE 400, JACKSON, MI 49202
(517) 780-3336
(517) 796-4561
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401010523
MI
Other
Enumeration date
01/08/2008
Last updated
12/10/2008
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