Malone, Joan Rose

Malone, Joan Rose is an individual health care provider with primary practice located at 175 Gwinnett Dr , Lawrenceville GA 30046-8444. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Malone, Joan Rose can be contacted via phone (770) 339-2395.

Contact Information

Primary practice address
175 Gwinnett Dr Lawrenceville GA 30046-8444
Phone: (770) 339-2395
Fax: (678) 990-3997
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CCAADC-C0075 Georgia
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC006107 Georgia

Profile Details

NPI number 1629314851
LBN Legal business name Malone, Joan Rose
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 16th, 2012
Last updated Dec 16th, 2012 - about 14 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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