Individual
CHRISTINA MALONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-IT, SAC-IT
Contact information
Practice address
1015 GAMMON LN, MADISON, WI 53719-2210
(608) 417-8144
Mailing address
1015 GAMMON LN, MADISON, WI 53719-2210
(608) 417-8144
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4815-226
WI
Other
Enumeration date
08/31/2021
Last updated
08/31/2021
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