person
Blake Malloy
Mental Health Counselor in Maple Grove, Minnesota
NPI 1033636519

Blake Malloy is a Mental Health Counselor based in New Brighton, MN and is specialized in Mental Health. Blake Malloy practices in Maple Grove, MN. The NPI Number for Blake Malloy is 1033636519 and holds a License No. (Minnesota).

The current practice location address for Blake Malloy is 13603 80Th Cir N, Maple Grove, MN and can be reached out via phone at 763-274-3120 and via fax at 763-274-3121.

Location: 13603 80Th Cir N, Maple Grove, MN, 55112-1789
person
Provider Profile Details
NPI Number
1033636519
Provider Name
Blake Malloy
Credential
Provider Entity Type
Individual
Gender
Male
Address
13603 80Th Cir N, Maple Grove, MN, 55112-1789
Phone Number
763-274-3120
Fax Number
763-274-3121
Provider Enumeration Date
08/25/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
13603 80Th Cir N
City
State
Zip
55369-8961
Phone Number
763-274-3120
Fax Number
763-274-3121
person
Provider Business Mailing Address Details
Address
13603 80Th Cir N
City
State
Zip
55369-8961
Phone Number
763-274-3120
Fax Number
763-274-3121
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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