Individual
CHASTIDY SHAUNE MALONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
11999 KATY FWY STE 490, HOUSTON, TX 77079-1608
(281) 597-9291
(281) 597-9761
Mailing address
11999 KATY FWY STE 490, HOUSTON, TX 77079-1608
(281) 597-9291
(281) 597-9761
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
66002
TX
Other
Enumeration date
02/16/2010
Last updated
02/16/2010
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