Jordan Mallery

NPI #1891575254 in Grayslake, Illinois

Provider Information

NPI Number: 1891575254
Entity Type: Individual
Name: Jordan Mallery
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Enumeration Date: Oct 3, 2023
Last Updated: Oct 3, 2023

Practice Location

Address: 1190 E WASHINGTON ST
City: Grayslake
State: Illinois
ZIP Code: 60030-7960
Phone: (847) 549-2235

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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