Chastidy Shaune Malone, MA
Counselor, Professional in Houston, TX. Individual provider (NPI-1).
NPI number1720300916
StatusActive
Last updated in NPPESFeb 16, 2010
Details
- NPI
- 1720300916
- Entity type
- Individual (NPI-1)
- Name
- Chastidy Shaune Malone
- Credential
- MA
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 16, 2010
- Last updated
- Feb 16, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 66002 | TX | Yes |
Practice location
11999 Katy Fwy Ste 490Houston, TX 77079-1608
Phone 281-597-9291 · Fax 281-597-9761
Mailing address
11999 Katy Fwy Ste 490Houston, TX 77079-1608
Phone 281-597-9291 · Fax 281-597-9761
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