Individual provider · Type 1 NPI

Larry Mallory, LCDCII

Addiction (Substance Use Disorder) Counselor · Columbus, OH

NPI number 1134655640 Active

Practice location

1515 E Broad St
Columbus, OH 43205-1550

Mailing address

9902 Hoover Woods Rd
Galena, OH 43021-9482

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X976259 (OH)

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

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About NPI 1134655640

Larry Mallory, LCDCII's National Provider Identifier is 1134655640, issued on May 3, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Columbus, OH. The record was last updated on May 3, 2017.