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Mr. Michael David Malone, MA
Professional Counselor in Tupelo, Mississippi
NPI 1548520620

Michael David Malone is a Professional Counselor based in Lake Cormorant, MS and is specialized in Professional. Michael David Malone practices in Tupelo, MS and has the professional credentials of MA. The NPI Number for Michael David Malone is 1548520620 and holds a License No. 0506 (Mississippi).

The current practice location address for Michael David Malone is 100 Court St, Tupelo, MS and can be reached out via phone at 662-844-4254.

Location: 100 Court St, Tupelo, MS, 38641-9217
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548520620
Provider Name
Michael David Malone
Credential
MA
Provider Entity Type
Individual
Gender
Male
Address
100 Court St, Tupelo, MS, 38641-9217
Phone Number
662-844-4254
Fax Number
Provider Enumeration Date
05/22/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
100 Court St
City
Tupelo
State
Mississippi
Zip
38804-3900
Phone Number
662-844-4254
Fax Number
person
Provider Business Mailing Address Details
Address
100 Court St
City
Tupelo
State
Mississippi
Zip
38804-3900
Phone Number
662-844-4254
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
0506 (Mississippi)
Definition
Definition to come...
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