Individual
ALAN W MALLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
27 CONGRESS ST, SALEM, MA 01970-7309
(978) 745-8890
(978) 741-3104
Mailing address
R 11 ANDOVER STREET, PEABODY, MA 01960
(978) 532-1428
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1021060
MA
Other
Enumeration date
10/10/2006
Last updated
10/03/2011
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