Mala, Katherine

Mala, Katherine is an individual health care provider with primary practice located at 285 Main Street West Haven Health Center Counseling Services, West Haven CT 06516-7307. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Mala, Katherine can be contacted via phone (203) 503-3409.

Contact Information

Primary practice address
285 Main Street West Haven Health Center Counseling Services West Haven CT 06516-7307
Phone: (203) 503-3409
Fax: (203) 503-3414
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 9535 Connecticut

Profile Details

NPI number 1245633767
LBN Legal business name Mala, Katherine
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2014
Last updated Jul 21st, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245633767 NPPES
Connecticut MEDICAID 004235918

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