Individual
MR. ANTHONY JAMES MALLIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSCP
Contact information
Practice address
32100 TELEGRAPH RD STE 205, BINGHAM FARMS, MI 48025-2454
(248) 712-4266
Mailing address
126 HOOP POLE CREEK DR, ATLANTIC BEACH, NC 28512-5812
(248) 396-4861
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10235
SC
Other
Enumeration date
12/03/2020
Last updated
02/10/2025
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