Provider Demographics
NPI:1003240565
Name:MALONE, JAMES M (LMHC)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:M
Last Name:MALONE
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2702 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SOUTH CHATHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02659-1306
Mailing Address - Country:US
Mailing Address - Phone:978-273-1551
Mailing Address - Fax:
Practice Address - Street 1:2702 MAIN ST
Practice Address - Street 2:
Practice Address - City:SOUTH CHATHAM
Practice Address - State:MA
Practice Address - Zip Code:02659-1306
Practice Address - Country:US
Practice Address - Phone:978-273-1551
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-02
Last Update Date:2021-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
MA8899101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health