Provider Demographics
NPI:1598894123
Name:MALONAI, GRACE M (PHD, LPCC, BC-TMH)
Entity Type:Individual
Prefix:DR
First Name:GRACE
Middle Name:M
Last Name:MALONAI
Suffix:
Gender:F
Credentials:PHD, LPCC, BC-TMH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:986 MORAGA RD
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:CA
Mailing Address - Zip Code:94549-4423
Mailing Address - Country:US
Mailing Address - Phone:925-954-6229
Mailing Address - Fax:925-269-8052
Practice Address - Street 1:986 MORAGA RD
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:CA
Practice Address - Zip Code:94549-4423
Practice Address - Country:US
Practice Address - Phone:259-546-2299
Practice Address - Fax:925-269-8052
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-02
Last Update Date:2022-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALPCC 252101YM0800X
CALPCC252101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health