Individual provider · Type 1 NPI

Mallory R. Wines, LPC

Mental Health Counselor · Lisbon, OH

NPI number 1154731354 Active

Practice location

7880 Lincole Pl
Lisbon, OH 44432-8322

Call (330) 424-7221 Map

Fax (330) 424-3731

Mailing address

16856 Clifton Ave
East Liverpool, OH 43920-9443

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XC.0900646 (OH)

Mental Health Counselor: Definition to come...

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About NPI 1154731354

Mallory R. Wines, LPC's National Provider Identifier is 1154731354, issued on Apr 28, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lisbon, OH. The record was last updated on Feb 24, 2017.