Mindi Lee Malcom
Counselor, Professional in Krum, TX. Individual provider (NPI-1).
NPI number1497498331
StatusActive
Last updated in NPPESApr 19, 2022
Details
- NPI
- 1497498331
- Entity type
- Individual (NPI-1)
- Name
- Mindi Lee Malcom
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 19, 2022
- Certification date
- Apr 5, 2022
- Last updated
- Apr 19, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | – | – | Yes |
Practice location
14600 Farm To Market Road 1173Krum, TX 76249
Phone 940-300-4840
Mailing address
14600 Farm To Market Road 1173Krum, TX 76249
Phone 940-300-4840
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