Individual provider · Type 1 NPI

Susan Mallon, QMHA, BA

Mental Health Counselor · North Bend, OR

NPI number 1629272976 Active

Practice location

1975 Mcpherson St, Suite 2
North Bend, OR 97459-3482

Call (541) 756-2020 Map

Fax (541) 756-8982

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1629272976

Susan Mallon, QMHA, BA's National Provider Identifier is 1629272976, issued on Jun 12, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in North Bend, OR. The record was last updated on Jul 8, 2007.