Individual provider · Type 1 NPI

Mallory Johnson, LPCC

Professional Counselor · Louisville, KY

NPI number 1093366338 Active

Practice location

11103 Park Rd
Louisville, KY 40223-2424

Call (502) 753-5524 Map

Mailing address

4536 S 3rd St
Louisville, KY 40214-1930

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X173555 (KY)
Professional Counselor Primary 101YP2500X265944 (KY)

Professional Counselor: Definition to come...

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About NPI 1093366338

Mallory Johnson, LPCC's National Provider Identifier is 1093366338, issued on Sep 27, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Louisville, KY. The record was last updated on Sep 30, 2020.