| Louis Mallette, LPC | |
|
State Hwy Sr 264 And Us 191, Ganado, AZ 86505-0457 | |
| (928) 755-4500 | |
| Not Available |
| Full Name | Louis Mallette |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | State Hwy Sr 264 And Us 191, Ganado, Arizona |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730305350 | NPI | - | NPPES |
| MH0150 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LPC463 (Alaska) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Louis Mallette, LPC Po Box 457, Ganado, AZ 86505-0457 Ph: (928) 755-4500 | Louis Mallette, LPC State Hwy Sr 264 And Us 191, Ganado, AZ 86505-0457 Ph: (928) 755-4500 |
Devon Kb Gorman, Counselor Medicare: Not Enrolled in Medicare Practice Location: Po Box 457, Ganado, AZ 86505 Phone: 928-755-4586 Fax: 928-755-4747 | |
Shanell K Franklin, Counselor Medicare: Not Enrolled in Medicare Practice Location: Po Box 457, Ganado, AZ 86505 Phone: 928-755-4586 |