Individual provider · Type 1 NPI

Mary Kallaher

Mental Health Counselor · Los Angeles, CA

NPI number 1457010753 Active

Practice location

6404 Wilshire Blvd
Los Angeles, CA 90048-5501

Call (424) 235-8714 Map

Mailing address

330 S Carmelina Ave
Los Angeles, CA 90049-3960

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1457010753

Mary Kallaher's National Provider Identifier is 1457010753, issued on Dec 14, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Los Angeles, CA. The record was last updated on Dec 14, 2021.