Individual provider · Type 1 NPI

Philip Mallory Sr., LMHC CASAC

Mental Health Counselor · Bronx, NY

NPI number 1659812485 Active

Practice location

1910 Arthur Ave, Bronx
Bronx, NY 10457-6305

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X007776-1 (NY)

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About NPI 1659812485

Philip Mallory Sr., LMHC CASAC's National Provider Identifier is 1659812485, issued on Mar 13, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bronx, NY. The record was last updated on Mar 13, 2017.