Individual
THOMAS ANDREW MALIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCP
Contact information
Practice address
10 W PHILLIP RD STE 114, VERNON HILLS, IL 60061-1730
(224) 707-4321
Mailing address
160 MARION AVE, LAKE FOREST, IL 60045-2962
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
Primary
071010068
IL
Other
Enumeration date
08/19/2013
Last updated
08/13/2019
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