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Laurel Kristine Malloy
Counselor in Rockford, Illinois
NPI 1891278123

Laurel Kristine Malloy is a Counselor based in Rockford, IL. Laurel Kristine Malloy practices in Rockford, IL. The NPI Number for Laurel Kristine Malloy is 1891278123 and holds a License No. (Illinois).

The current practice location address for Laurel Kristine Malloy is 1509 Benton St, Rockford, IL and can be reached out via phone at 815-387-5600.

Location: 1509 Benton St, Rockford, IL, 61107-3877
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891278123
Provider Name
Laurel Kristine Malloy
Credential
Provider Entity Type
Individual
Gender
Female
Address
1509 Benton St, Rockford, IL, 61107-3877
Phone Number
815-387-5600
Fax Number
Provider Enumeration Date
09/12/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1509 Benton St
City
Rockford
State
Illinois
Zip
61107-4322
Phone Number
815-387-5600
Fax Number
person
Provider Business Mailing Address Details
Address
1509 Benton St
City
Rockford
State
Illinois
Zip
61107-4322
Phone Number
815-387-5600
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
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.
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