Individual provider · Type 1 NPI

Annette S. Mallen, LCSW

Mental Health Counselor · Medford, MA

NPI number 1407947989 Active

Practice location

151 Mystic Ave
Medford, MA 02155-4632

Fax (781) 396-1439

Mailing address

5 High St
South Dartmouth, MA 02748-3808

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X207323 (MA)

Mental Health Counselor: Definition to come...

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About NPI 1407947989

Annette S. Mallen, LCSW's National Provider Identifier is 1407947989, issued on Sep 27, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Medford, MA. The record was last updated on Jul 8, 2007.