Individual provider · Type 1 NPI
Colleen Mallory
Mental Health Counselor · San Angelo, TX
NPI number
1407582307
Active
Practice location
3418 Town And Country Dr
San Angelo, TX 76903
Mailing address
705 W 15th St
San Angelo, TX 76903
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 89218 (TX) |
Mental Health Counselor: Definition to come...
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About NPI 1407582307
Colleen Mallory's National Provider Identifier is 1407582307, issued on Jul 25, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Angelo, TX. The record was last updated on Jul 25, 2022.