Kimberly Mallory

NPI #1891239968 in Ukiah, California

Provider Information

NPI Number: 1891239968
Entity Type: Individual
Name: Kimberly Mallory
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Dec 8, 2016
Last Updated: Jul 30, 2018

Practice Location

Address: 810 N STATE ST
City: Ukiah
State: California
ZIP Code: 95482-3410
Phone: (707) 462-7267

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X
Counselor	101Y00000X	Primary

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