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Individual

MS. MARJORIE MALONE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD, LPCC

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CSAC II 169
CA
101YM0800X
Mental Health Counselor
LPCC 96621
NM
101YP2500X
Professional Counselor
Primary
0096621
NM
101YP2500X
Professional Counselor
LPCC 96621
NM
102L00000X
Psychoanalyst
LMFT 43969
CA
102L00000X
Psychoanalyst
LPCC 96621
NM
106H00000X
Marriage & Family Therapist
LMFT 43969
CA

Other

Enumeration date
10/24/2007
Last updated
07/23/2009
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