Doctor Name: | MEGAN E MALONEY |
NPI Number: | 1598958126 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMSW |
License Number: | C-02651 |
Business Practice Address: | 740 Center St Clio, MI - 484201134 |
Business Phone Number: | 8106867313 |
Business Fax Number: | 8106867315 |
Mailing Address: | Po Box 404, CLIO |
State: | MI |
Postal Code: | 484200404 |
Phone Number: | 3133300347 |
Fax Number: | |
NPI Enumeration Date: | 08/27/2007 |
NPI Last Update Date: | 02/12/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | C-02651 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |