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NPI Code Detail

MEDICARE: KAREN MALSOM MS, LMHC

MEDICARE: KAREN MALSOM MS, LMHC
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
1101YM0800XMental Health CounselorCG60619103WA
2101Y00000XCounselorCG60619103WA
3103K00000XBehavior Analyst
4101YM0800XMental Health CounselorLH61220774WA

General Provider Information

NPI Number : 1376917625
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAREN MALSOM MS, LMHC
Provider Business Mailing Address
First Line : 1400 BROADWAY
Second Line :
City : BELLINGHAM
State : WA
Zip : 98225-3036
Country : US
Telephone Number : 360-922-6977
Fax Number :
Provider Business Practice Location Address
First Line : 1400 BROADWAY
Second Line :
City : BELLINGHAM
State : WA
Zip : 98225-3036
Country : US
Telephone Number : 360-922-6977
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/24/2015
Last Update Date : 05/30/2025

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