Doctor Name: | MRS. MALINDA BETH ANEY |
NPI Number: | 1164767059 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC, SAC-IT, NCC |
License Number: | 16673-130 |
Business Practice Address: | W4051 County Road Nn Elkhorn, WI - 531214338 |
Business Phone Number: | 2627413200 |
Business Fax Number: | 2627413299 |
Mailing Address: | Po Box 1005, ELKHORN |
State: | WI |
Postal Code: | 531211005 |
Phone Number: | 2627413200 |
Fax Number: | 2627413299 |
NPI Enumeration Date: | 12/03/2012 |
NPI Last Update Date: | 01/22/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 16673-130 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |