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Pavel Malm, LCMHC
Mental Health Counselor in Newport, Vermont
NPI 1154425296

Pavel Malm is a Mental Health Counselor based in Newport, VT and is specialized in Mental Health. Pavel Malm practices in Newport, VT and has the professional credentials of LCMHC. The NPI Number for Pavel Malm is 1154425296 and holds a License No. 0680000594 (Vermont).

The current practice location address for Pavel Malm is 124 E Main St Ste 2, Newport, VT and can be reached out via phone at 802-327-0077. You can also correspond with Pavel Malm through the mailing address at PO BOX 622, NEWPORT, VT - 05855-0622 (mailing address contact number: 802-673-6998).

Location: 124 E Main St Ste 2, Newport, VT, 05855-0622
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Provider Profile Details
NPI Number
1154425296
Provider Name
Pavel Malm
Credential
LCMHC
Provider Entity Type
Individual
Gender
Male
Address
124 E Main St Ste 2, Newport, VT, 05855-0622
Phone Number
802-327-0077
Fax Number
Provider Enumeration Date
09/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
59161 01 VT BCBS
1009126 05 VT
institution
Provider Business Practice Location Address Details
Address
124 E Main St Ste 2
City
State
Zip
05855-5561
Phone Number
802-327-0077
Fax Number
person
Provider Business Mailing Address Details
Address
124 E Main St Ste 2
City
State
Zip
05855-5561
Phone Number
802-327-0077
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
0680000594 (Vermont)
Definition
Definition to come...
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