person
Maxx Malloy
Counselor in San Francisco, California
NPI 1104285170

Maxx Malloy is a Counselor based in San Francisco, CA. Maxx Malloy practices in San Francisco, CA. The NPI Number for Maxx Malloy is 1104285170 and holds a License No. (California).

The current practice location address for Maxx Malloy is 1001 Potrero Ave, Ward 93, San Francisco, CA and can be reached out via phone at 628-206-8412.

Location: 1001 Potrero Ave, Ward 93, San Francisco, CA, 94110
person
Provider Profile Details
NPI Number
1104285170
Provider Name
Maxx Malloy
Credential
Provider Entity Type
Individual
Gender
Female
Address
1001 Potrero Ave, Ward 93, San Francisco, CA, 94110
Phone Number
628-206-8412
Fax Number
Provider Enumeration Date
02/18/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ZZZ91892Z 01 CA SANTA CRUZ COUNTY MEDICARE GROUP PTAN#
institution
Provider Business Practice Location Address Details
Address
1001 Potrero Ave, Ward 93
City
State
Zip
94110
Phone Number
628-206-8412
Fax Number
person
Provider Business Mailing Address Details
Address
1001 Potrero Ave, Ward 93
City
State
Zip
94110
Phone Number
628-206-8412
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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