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General NPI Number Information
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NPI Number | 1598894123
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Entity Type | Individual
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Provider Name | GRACE M. MALONAI PHD, LPCC, BC-TMH
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Gender | Female
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Dates
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Enumeration Date | 03/02/2007
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Last Update Date | 11/25/2022
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Provider Practice Location Address
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Address Line | 986 MORAGA RD
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City | LAFAYETTE
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State | CA
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Zip | 94549-4423
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Country | US
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Telephone | 259-546-2299
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Fax | 925-269-8052
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Provider Business Mailing Address
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Address Line | 986 MORAGA RD
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City | LAFAYETTE
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State | CA
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Zip | 94549-4423
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Country | US
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Telephone | 925-954-6229
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Fax | 925-269-8052
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LPCC 252
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPCC252
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License Number State | CA
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