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General NPI Number Information
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NPI Number | 1770194169
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Entity Type | Organization
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Legal Business Name | MALOUF COUNSELING AND CONSULTING LLC
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Dates
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Enumeration Date | 08/11/2020
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Last Update Date | 06/25/2022
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Provider Practice Location Address
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Address Line | 4800 ROLAND AVE STE 301
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City | BALTIMORE
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State | MD
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Zip | 21210-2347
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Country | US
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Telephone | 443-885-0889
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Fax | 443-885-0085
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Provider Business Mailing Address
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Address Line | 4800 ROLAND AVE STE 301
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City | BALTIMORE
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State | MD
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Zip | 21210-2347
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Country | US
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Telephone | 443-885-0889
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Fax | 443-885-0085
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | MATTHEW MALOUF
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Credential | PHD
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Telephone | 443-885-0889
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number |
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License Number State |
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