Ebony Mallard, LPC
NPI #1942560412 in Brookhaven, Georgia
Provider Information
- NPI Number
- 1942560412
- Entity Type
- Individual
- Name
- Ebony Mallard, LPC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Credential
- LPC
- Enumeration Date
- May 18, 2012
- Last Updated
- Mar 11, 2025
Practice Location
- Address
- 2801 BUFORD HWY NE STE 501
- City
- Brookhaven
- State
- Georgia
- ZIP Code
- 30329-2137
- Phone
- (404) 491-0377
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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