Individual provider · Type 1 NPI

Jennifer Lynette Clark Mallari, M.A., MDIV

Mental Health Counselor · San Leandro, CA

NPI number 1265696736 Active

Practice location

13666 E 14th St
San Leandro, CA 94578-2538

Call (510) 357-5515 Map

Fax (510) 357-5112

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1265696736

Jennifer Lynette Clark Mallari, M.A., MDIV's National Provider Identifier is 1265696736, issued on Jul 15, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Leandro, CA. The record was last updated on Aug 5, 2011.