Individual provider · Type 1 NPI

Mallery Lynn Vannoy

Addiction (Substance Use Disorder) Counselor · Erie, PA

NPI number 1619549995 Active

Practice location

1611 Peach St
Erie, PA 16501-2109

Mailing address

1926 Avon Dr
Erie, PA 16509-3428

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNA

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1619549995

Mallery Lynn Vannoy's National Provider Identifier is 1619549995, issued on Jul 15, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Erie, PA. The record was last updated on Jul 15, 2021.