person
Paul Douglas Mallamo, LAC
Addiction (Substance Use Disorder) Counselor in Olathe, Kansas
NPI 1346832250

Paul Douglas Mallamo is an Addiction (Substance Use Disorder) Counselor based in Saint Charles, KS and is specialized in Addiction (Substance Use Disorder). Paul Douglas Mallamo practices in Olathe, KS and has the professional credentials of LAC. The NPI Number for Paul Douglas Mallamo is 1346832250 and holds a License No. 1677 (Kansas).

The current practice location address for Paul Douglas Mallamo is 1009 E Old Highway 56, Olathe, KS and can be reached out via phone at 913-764-7555 and via fax at 913-764-0739. You can also correspond with Paul Douglas Mallamo through the mailing address at 1601 OLD SOUTH RIVER RD, SAINT CHARLES, MO - 63303-4120 (mailing address contact number: 636-224-1210).

Location: 1009 E Old Highway 56, Olathe, KS, 63303-4120
person
Provider Profile Details
NPI Number
1346832250
Provider Name
Paul Douglas Mallamo
Credential
LAC
Provider Entity Type
Individual
Gender
Male
Address
1009 E Old Highway 56, Olathe, KS, 63303-4120
Phone Number
913-764-7555
Fax Number
913-764-0739
Provider Enumeration Date
02/11/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1009 E Old Highway 56
City
State
Zip
66061-4969
Phone Number
913-764-7555
Fax Number
913-764-0739
person
Provider Business Mailing Address Details
Address
1009 E Old Highway 56
City
State
Zip
66061-4969
Phone Number
913-764-7555
Fax Number
913-764-0739
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
1677 (Kansas)
Definition
Definition to come...
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