Individual provider · Type 1 NPI
Pavel Malm, LCMHC
Mental Health Counselor · Newport, VT
NPI number
1154425296
Active
Practice location
198 E Main St Ste 3
Newport, VT 05855-4420
Mailing address
PO Box 622
Newport, VT 05855-0622
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 0680000594 (VT) |
Mental Health Counselor: Definition to come...
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About NPI 1154425296
Pavel Malm, LCMHC's National Provider Identifier is 1154425296, issued on Sep 11, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Newport, VT. The record was last updated on Mar 4, 2026.