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NPI Code Detail

MEDICARE: AMBER MALONE

MEDICARE: AMBER MALONE
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
1101YA0400XAddiction (Substance Use Disorder) CounselorCDCA.194217OH
2171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1609330919
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMBER MALONE
Provider Business Mailing Address
First Line : 2727 S 3RD ST
Second Line :
City : IRONTON
State : OH
Zip : 45638-2760
Country : US
Telephone Number : 740-534-2100
Fax Number :
Provider Business Practice Location Address
First Line : 2727 S 3RD ST
Second Line :
City : IRONTON
State : OH
Zip : 45638-2760
Country : US
Telephone Number : 740-534-2100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/31/2019
Last Update Date : 02/13/2026

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Directions to “ AMBER MALONE ” Practice Location

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