Individual
DEEGAN MALONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-S
Contact information
Practice address
2721 JENNY LN, BIRMINGHAM, AL 35243-4107
(205) 235-5083
Mailing address
PO BOX 430174, BIRMINGHAM, AL 35243-1174
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2213
AL
Other
Enumeration date
09/10/2019
Last updated
09/10/2019
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