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General NPI Number Information
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NPI Number | 1871144048
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Entity Type | Organization
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Legal Business Name | GARY MALONE COUNSELING, PLLC
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Dates
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Enumeration Date | 09/27/2019
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Last Update Date | 09/27/2019
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Provider Practice Location Address
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Address Line | 3737 LAMAR AVE STE 100
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City | PARIS
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State | TX
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Zip | 75460-9463
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Country | US
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Telephone | 281-772-2452
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Fax |
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Provider Business Mailing Address
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Address Line | 296 OAK HILL DR
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City | POWDERLY
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State | TX
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Zip | 75473-5626
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | GARY MALONE
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Credential | LMFT
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Telephone | 281-772-2452
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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