Individual provider · Type 1 NPI

Mallory Jennes

Mental Health Counselor · Carmel, NY

NPI number 1205419967 Active

Practice location

21 Old Route 6
Carmel, NY 10512-2107

Mailing address

79 Glenridge Rd
Glenville, NY 12302-4523

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1205419967

Mallory Jennes's National Provider Identifier is 1205419967, issued on Apr 30, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Carmel, NY. The record was last updated on Apr 30, 2021.