Organization
EVELYN MALLEA, CHTD
Active
Other names
Magic Valley Counseling Services
Organization subpart
No
Provider details
NPI number
Authorized official
MS. EVELYN MALLEA LCSW (OWNER)
(208) 734-7714
Entity
Organization
Contact information
Practice address
1002 SHOSHONE ST E, TWIN FALLS, ID 83301-6338
(208) 734-7714
(208) 735-8537
Mailing address
1002 SHOSHONE ST E, TWIN FALLS, ID 83301-6338
(208) 734-7714
(208) 735-8537
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW779
ID
Other
Enumeration date
10/10/2006
Last updated
08/22/2020
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