Individual provider · Type 1 NPI
Charles Greg Malone
Professional Counselor · Dacula, GA
NPI number
1124941299
Active
Practice location
2155 Enclave Mill Dr
Dacula, GA 30019-3290
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | LPC016490 (GA) |
Professional Counselor: Definition to come...
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About NPI 1124941299
Charles Greg Malone's National Provider Identifier is 1124941299, issued on Aug 4, 2026. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Dacula, GA. The record was last updated on Aug 4, 2026.