Individual
MRS. LINDA G MALCOM
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1000 COMMERCIAL LN, SUFFOLK, VA 23434-8148
(757) 942-1069
(757) 942-2213
Mailing address
1000 COMMERCIAL LN, SUFFOLK, VA 23434-8148
(757) 942-1069
(757) 942-2213
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0904002870
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
270373
HEATHKEEPERS
VA
01
—
330036
OPTIMUM CHOICE
VA
01
—
4945310
VA PREMIER
VA
05
—
8904863
—
VA
01
—
O85800A
SENTARA FAMILY CARE
VA
Enumeration date
09/28/2005
Last updated
07/08/2007
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