Individual provider · Type 1 NPI

Mallory Ann Myers

Addiction (Substance Use Disorder) Counselor · Hawthorne, CA

NPI number 1962052290 Active

Practice location

2501 W El Segundo Blvd
Hawthorne, CA 90250-3317

Call (323) 754-2816 Map

Mailing address

1680 S Garey Ave Unit 306
Pomona, CA 91766-5289

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1962052290

Mallory Ann Myers's National Provider Identifier is 1962052290, issued on Sep 18, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Hawthorne, CA. The record was last updated on Sep 18, 2019.