Laura Malcolm
Counselor, Mental Health in Sioux City, IA. Individual provider (NPI-1).
NPI number1922884279
StatusActive
Last updated in NPPESSep 4, 2023
Details
- NPI
- 1922884279
- Entity type
- Individual (NPI-1)
- Name
- Laura Malcolm
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 4, 2023
- Certification date
- Sep 2, 2023
- Last updated
- Sep 4, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 120943 | IA | Yes |
Practice location
2212 Pierce St Ste 100Sioux City, IA 51104-3871
Phone 712-255-8323
Mailing address
2212 Pierce St Ste 100Sioux City, IA 51104-3871
Phone 712-255-8323
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