Individual provider · Type 1 NPI

Paul Douglas Mallamo, LAC

Addiction (Substance Use Disorder) Counselor · Olathe, KS

NPI number 1346832250 Active

Practice location

1009 E Old Highway 56
Olathe, KS 66061-4969

Fax (913) 764-0739

Mailing address

1601 Old South River Rd
St. Charles, MO 63303-4120

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X1677 (KS)

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

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About NPI 1346832250

Paul Douglas Mallamo, LAC's National Provider Identifier is 1346832250, issued on Feb 11, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Olathe, KS. The record was last updated on Feb 11, 2021.