Individual provider · Type 1 NPI

Laura W. Mallard

Mental Health Counselor · Atlanta, GA

NPI number 1245858703 Active

Practice location

1030 Fayetteville Rd SE
Atlanta, GA 30316-2921

Call (404) 486-9034 Map

Mailing address

310 Oxford Hall Dr
Alpharetta, GA 30005-4390

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1245858703

Laura W. Mallard's National Provider Identifier is 1245858703, issued on Jul 10, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Atlanta, GA. The record was last updated on Jul 10, 2020.