Martin Mose Malouff, BS CACIII

NPI #1740498195 in Trinidad, Colorado

Provider Information

NPI Number
1740498195
Entity Type
Individual
Name
Martin Mose Malouff, BS CACIII
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Credential
BS CACIII
Enumeration Date
May 18, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
1004 S CARBON AVE
ZIP Code
81082-3664
Phone
(719) 846-4481

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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