Individual
MICHAEL MALLETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CASAC
Contact information
Practice address
22165 US HIGHWAY 431, GUNTERSVILLE, AL 35976-8994
(256) 582-4465
(256) 582-5339
Mailing address
2409 HOMER CLAYTON DR, GUNTERSVILLE, AL 35976-2207
(256) 582-3203
(256) 582-3216
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
9984
NY
Other
Enumeration date
08/03/2009
Last updated
08/03/2009
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