Individual provider · Type 1 NPI

Mallory R. Hippler, COUNSELOR

Professional Counselor · Normal, IL

NPI number 1063765303 Active

Practice location

2200 Fort Jesse Rd
Normal, IL 61761-6286

Fax (309) 451-1354

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X180.009500 (IL)

Professional Counselor: Definition to come...

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About NPI 1063765303

Mallory R. Hippler, COUNSELOR's National Provider Identifier is 1063765303, issued on Oct 24, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Normal, IL. The record was last updated on May 10, 2017.