Doctor Name: | CAROL MALOUIN |
NPI Number: | 1043383110 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., LCMHC |
License Number: | |
Business Practice Address: | 39 Simon St #5 Nashua, NH - 030603046 |
Business Phone Number: | 6038898648 |
Business Fax Number: | 6038829666 |
Mailing Address: | 11 Blackstone Dr, Unit 1136 NASHUA |
State: | NH |
Postal Code: | 030635058 |
Phone Number: | 6038898648 |
Fax Number: | 6038829666 |
NPI Enumeration Date: | 11/16/2006 |
NPI Last Update Date: | 08/09/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |