Victoria Malloy, LCPC

NPI 1205094554 · on the registry since 2008 · sole proprietor

Practice

Address: 183 E Bethel Dr
Bourbonnais, IL 60914
Phone: (815) 939-1900
Fax: (815) 939-1902
Organisation at this address: Blank Canvas Counseling Co
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Registry record

Primary taxonomy: 101YP2500X
101YP2500X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2011-08-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois