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NPI Code Detail

MEDICARE: ANNA MALACKI LPCC

MEDICARE: ANNA MALACKI LPCC
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
1101Y00000XCounselorC.2305345OH
2101YP2500XProfessional CounselorE.2606455OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1295416188
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNA MALACKI LPCC
Provider Business Mailing Address
First Line : 24 WOODRUFF DR
Second Line :
City : CARNEGIE
State : PA
Zip : 15106-3054
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 45875 BELL SCHOOL RD
Second Line :
City : EAST LIVERPOOL
State : OH
Zip : 43920-8728
Country : US
Telephone Number : 234-254-5656
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/25/2023
Last Update Date : 04/07/2026

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