Michael Joseph Mailloux

NPI #1316690829 in Springfield Gardens, New York

Provider Information

NPI Number: 1316690829
Entity Type: Individual
Name: Michael Joseph Mailloux
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Enumeration Date: Feb 3, 2022
Last Updated: Jul 17, 2024

Practice Location

Address: 21831 133RD RD FL 1
City: Springfield Gardens
State: New York
ZIP Code: 11413-1622
Phone: (757) 322-0785

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary
Social Worker	104100000X

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