Individual provider · Type 1 NPI

Jamie Rae Mallory

Addiction (Substance Use Disorder) Counselor · Santa Rosa, CA

NPI number 1013317197 Active

Practice location

2255 Challenger Way
Santa Rosa, CA 95407-2928

Call (707) 326-0137 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X168350 (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1013317197

Jamie Rae Mallory's National Provider Identifier is 1013317197, issued on Aug 26, 2014. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Santa Rosa, CA. The record was last updated on Jul 13, 2025.