Individual provider · Type 1 NPI

Kathryn Jane Malloy, RADT

Addiction (Substance Use Disorder) Counselor · Trabuco Canyon, CA

NPI number 1285464065 Active

Practice location

20331 Flanagan Road
Trabuco Canyon, CA 92679

Fax (818) 582-8836

Mailing address

23566 Los Adornos
Aliso Viejo, CA 92656-1115

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR1566840724 (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1285464065

Kathryn Jane Malloy, RADT's National Provider Identifier is 1285464065, issued on Aug 6, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Trabuco Canyon, CA. The record was last updated on Aug 6, 2024.