Individual provider · Type 1 NPI

Mallory Richard Dean Jr.

Mental Health Counselor · Chattanooga, TN

NPI number 1205973062 Active

Practice location

5726 Marlin Rd, Franklin Building, Suite 200
Chattanooga, TN 37411-4008

Call (423) 954-8890 Map

Mailing address

4407 Paula Ln
Chattanooga, TN 37415-2925

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1205973062

Mallory Richard Dean Jr.'s National Provider Identifier is 1205973062, issued on Jan 31, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Chattanooga, TN. The record was last updated on Jul 8, 2007.