Individual provider · Type 1 NPI
Mark Mallory
Professional Counselor · Lubbock, TX
NPI number
1144628124
Active
Practice location
1628 19th St
Lubbock, TX 79401-4832
Fax (806) 766-1286
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | None listed |
Professional Counselor: Definition to come...
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About NPI 1144628124
Mark Mallory's National Provider Identifier is 1144628124, issued on Dec 8, 2014. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Lubbock, TX. The record was last updated on Dec 8, 2014.