Individual provider · Type 1 NPI

Polly Mathews Mallory, LPC

Counselor · Salt Lake City, UT

NPI number 1750171765 Active

Practice location

185 N West Temple Apt 403
Salt Lake City, UT 84103-1563

Call (248) 330-2737 Map

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X6401006097 (MI)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1750171765

Polly Mathews Mallory, LPC's National Provider Identifier is 1750171765, issued on May 12, 2025. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Salt Lake City, UT. The record was last updated on May 12, 2025.