Individual provider · Type 1 NPI

Gwendolyn Mallory, QMHA

Addiction (Substance Use Disorder) Counselor · Las Vegas, NV

NPI number 1225666597 Active

Practice location

4550 W Sahara Ave Apt 1241
Las Vegas, NV 89102-3648

Call (909) 600-8373 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X02632-I (NV)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1225666597

Gwendolyn Mallory, QMHA's National Provider Identifier is 1225666597, issued on Mar 31, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Las Vegas, NV. The record was last updated on Jun 17, 2020.