Individual provider · Type 1 NPI

Alyssia Jeaneese Mallory

Addiction (Substance Use Disorder) Counselor · Sacramento, CA

NPI number 1972164192 Active

Practice location

4343 Williamsbourgh Dr
Sacramento, CA 95823

Other practice locations

  • 7264 Munson Way Apt F, Sacramento, CA 95823-2451 · (916) 862-8449
  • 7264 Munson Way Apt F, Sacramento, CA 95823-2451 · (916) 862-8449

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 1972164192

Alyssia Jeaneese Mallory's National Provider Identifier is 1972164192, issued on Jun 27, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Sacramento, CA. The record was last updated on Nov 6, 2019.