Individual provider · Type 1 NPI

Mallory Kroll

Mental Health Counselor · Waltham, MA

NPI number 1215374012 Active

Practice location

77 Rumford Ave
Waltham, MA 02453-3872

Mailing address

103 Bartlett Ave, # 1
Arlington, MA 02476-7951

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1215374012

Mallory Kroll's National Provider Identifier is 1215374012, issued on Jun 3, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Waltham, MA. The record was last updated on Jun 3, 2013.