Jennifer Alice Mallory, CDCA

NPI #1972018182 in Fairfield, Ohio

Provider Information

NPI Number: 1972018182
Entity Type: Individual
Name: Jennifer Alice Mallory, CDCA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Credential: CDCA
Enumeration Date: Dec 11, 2017
Last Updated: Jul 9, 2018

Practice Location

Address: 5108 SANDY LN
City: Fairfield
State: Ohio
ZIP Code: 45014
Phone: (513) 834-7063

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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