person
Marty Malcolm
Addiction (Substance Use Disorder) Counselor in Ishpeming, Michigan
NPI 1093460578

Marty Malcolm is an Addiction (Substance Use Disorder) Counselor based in Ishpeming, MI and is specialized in Addiction (Substance Use Disorder). Marty Malcolm practices in Ishpeming, MI. The NPI Number for Marty Malcolm is 1093460578 and holds a License No. (Michigan).

The current practice location address for Marty Malcolm is 97 S 4Th St Ste C, Ishpeming, MI and can be reached out via phone at 906-228-9699.

Location: 97 S 4Th St Ste C, Ishpeming, MI, 49849-2168
person
Provider Profile Details
NPI Number
1093460578
Provider Name
Marty Malcolm
Credential
Provider Entity Type
Individual
Gender
Male
Address
97 S 4Th St Ste C, Ishpeming, MI, 49849-2168
Phone Number
906-228-9699
Fax Number
Provider Enumeration Date
02/14/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
97 S 4Th St Ste C
City
State
Zip
49849-2168
Phone Number
906-228-9699
Fax Number
person
Provider Business Mailing Address Details
Address
97 S 4Th St Ste C
City
State
Zip
49849-2168
Phone Number
906-228-9699
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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