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Louis Mallette, LPC
Mental Health Counselor in Ganado, Arizona
NPI 1730305350

Louis Mallette is a Mental Health Counselor based in Ganado, AZ and is specialized in Mental Health. Louis Mallette practices in Ganado, AZ and has the professional credentials of LPC. The NPI Number for Louis Mallette is 1730305350 and holds a License No. LPC463 (Arizona).

The current practice location address for Louis Mallette is State Hwy Sr 264 And Us 191, Ganado, AZ and can be reached out via phone at 928-755-4500.

Location: State Hwy Sr 264 And Us 191, Ganado, AZ, 86505-0457
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730305350
Provider Name
Louis Mallette
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
State Hwy Sr 264 And Us 191, Ganado, AZ, 86505-0457
Phone Number
928-755-4500
Fax Number
Provider Enumeration Date
04/18/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MH0150 05 AK
institution
Provider Business Practice Location Address Details
Address
State Hwy Sr 264 And Us 191
City
Ganado
State
Arizona
Zip
86505-0457
Phone Number
928-755-4500
Fax Number
person
Provider Business Mailing Address Details
Address
State Hwy Sr 264 And Us 191
City
Ganado
State
Arizona
Zip
86505-0457
Phone Number
928-755-4500
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
LPC463 (Alaska)
Definition
Definition to come...
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