Individual provider · Type 1 NPI
Mailla Garmodeh
Mental Health Counselor · Bristol, PA
NPI number
1760858823
Active
Practice location
711 Fairview Ave
Bristol, PA 19007-6473
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1760858823
Mailla Garmodeh's National Provider Identifier is 1760858823, issued on Aug 12, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bristol, PA. The record was last updated on Aug 12, 2015.