Provider Demographics
NPI:1699597724
Name:O'MALLEY, PATRICIA (LMFT)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:
Last Name:O'MALLEY
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:270 MACGREGOR RD
Mailing Address - Street 2:
Mailing Address - City:PLEASANT HILL
Mailing Address - State:CA
Mailing Address - Zip Code:94523-1109
Mailing Address - Country:US
Mailing Address - Phone:925-787-7803
Mailing Address - Fax:
Practice Address - Street 1:270 MACGREGOR RD
Practice Address - Street 2:
Practice Address - City:PLEASANT HILL
Practice Address - State:CA
Practice Address - Zip Code:94523-1109
Practice Address - Country:US
Practice Address - Phone:925-787-7803
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-29
Last Update Date:2024-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA41334101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health