Individual provider · Type 1 NPI
Kimberley Michelle Malloy, LCPC
Professional Counselor · Waterloo, IL
NPI number
1437588159
Active
Practice location
988 N Illinois Route 3
Waterloo, IL 62298-1000
Fax (618) 939-4181
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 180008895 (IL) |
Professional Counselor: Definition to come...
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About NPI 1437588159
Kimberley Michelle Malloy, LCPC's National Provider Identifier is 1437588159, issued on Nov 4, 2013. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Waterloo, IL. The record was last updated on Feb 23, 2024.