Malaz Idris
Malaz Idris is a Mental Health Counselor in St Petersburg, Florida. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
3840 5th Ave NSt Petersburg, FL 33713-7521
Phone: (904) 235-7771
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1629744321 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | August 22, 2021 |
| Last updated in NPPES | August 22, 2021 |
| Certification date | August 22, 2021 |
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