Individual
COURTNEY O'MALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC, LADC
Contact information
Practice address
821 W SAINT GERMAIN ST, SAINT CLOUD, MN 56301-3536
(320) 259-5381
(320) 259-6171
Mailing address
821 W SAINT GERMAIN ST, SAINT CLOUD, MN 56301-3536
(320) 259-5381
(320) 259-6171
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CC00917
MN
Other
Enumeration date
03/02/2015
Last updated
03/02/2015
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