Individual provider · Type 1 NPI

Jennifer Alice Mallory, CDCA

Addiction (Substance Use Disorder) Counselor · Fairfield, OH

NPI number 1972018182 Active

Practice location

5108 Sandy Ln
Fairfield, OH 45014

Call (513) 834-7063 Map

Fax (513) 816-7789

Mailing address

446 Morgan St
Cincinnati, OH 45206-2348

Other practice locations

  • 446 Morgan St, Cincinnati, OH 45206-2348 · (513) 834-7063
  • 6527 Colerain Ave, Cincinnati, OH 45239-5537 · (513) 834-7063

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCDCA.165090 (OH)

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

63 other providers at this address

Other addiction (substance use disorder) counselor providers in Fairfield

See all in Fairfield →

About NPI 1972018182

Jennifer Alice Mallory, CDCA's National Provider Identifier is 1972018182, issued on Dec 11, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fairfield, OH. The record was last updated on Jul 9, 2018.