MEDICARE: WILLIAM BRANDON MALLETTE MA

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
1	101YP1600X	Pastoral Counselor		AL
2	101YM0800X	Mental Health Counselor		AL

General Provider Information

NPI Number	:	1932067964
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM BRANDON MALLETTE MA

Provider Business Mailing Address
First Line	:	4958 VALLEYDALE RD STE 251
Second Line	:
City	:	HOOVER
State	:	AL
Zip	:	35242-7723
Country	:	US
Telephone Number	:	205-775-0705
Fax Number	:

Provider Business Practice Location Address
First Line	:	4958 VALLEYDALE RD STE 251
Second Line	:
City	:	HOOVER
State	:	AL
Zip	:	35242-7723
Country	:	US
Telephone Number	:	205-775-0705
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/09/2026
Last Update Date	:	01/09/2026

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Directions to “ WILLIAM BRANDON MALLETTE MA” Practice Location

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