MEDICARE: MR. HEINZ EUGENE MALON LMFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	LF60159646	WA

General Provider Information

NPI Number	:	1285000901
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. HEINZ EUGENE MALON LMFT

Provider Business Mailing Address
First Line	:	13911 143RD STREET CT NW
Second Line	:
City	:	GIG HARBOR
State	:	WA
Zip	:	98329-5691
Country	:	US
Telephone Number	:	253-509-4771
Fax Number	:

Provider Business Practice Location Address
First Line	:	13911 143RD STREET CT NW
Second Line	:
City	:	GIG HARBOR
State	:	WA
Zip	:	98329-5691
Country	:	US
Telephone Number	:	253-509-4771
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/17/2015
Last Update Date	:	04/10/2026

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