Individual provider · Type 1 NPI

Kamryn Rae Malloy, LCPC

Professional Counselor · Lisle, IL

NPI number 1144063322 Active

Practice location

1500 Eisenhower Ln Ste 900
Lisle, IL 60532-2135

Mailing address

363 Candlelyte Ct
Roselle, IL 60172-4046

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X180018660 (IL)

Professional Counselor: Definition to come...

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About NPI 1144063322

Kamryn Rae Malloy, LCPC's National Provider Identifier is 1144063322, issued on Jun 17, 2024. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Lisle, IL. The record was last updated on Oct 23, 2026.