Individual
MS. LOREN A MALKASIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.; LMHC
Contact information
Practice address
1500 HIGHWAY 17 N STE 201, SURFSIDE BEACH, SC 29575-6078
(508) 254-0066
Mailing address
502 LUMBER ST, NICHOLS, SC 29581-5074
(508) 254-0066
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LMHC 4564
MA
106H00000X
Marriage & Family Therapist
Primary
4711
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1890727
—
MA
Enumeration date
07/05/2005
Last updated
04/11/2024
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