person
Mrs. Mallory Hartman
Mental Health Counselor in Vienna, Illinois
NPI 1124404124

Mallory Hartman is a Mental Health Counselor based in Carbondale, IL and is specialized in Mental Health. Mallory Hartman practices in Vienna, IL. The NPI Number for Mallory Hartman is 1124404124 and holds a License No. (Illinois).

The current practice location address for Mallory Hartman is 408 E Vine St, Vienna, IL and can be reached out via phone at 618-658-2611.

Location: 408 E Vine St, Vienna, IL, 62903-7610
person
Provider Profile Details
NPI Number
1124404124
Provider Name
Mallory Hartman
Credential
Provider Entity Type
Individual
Gender
Female
Address
408 E Vine St, Vienna, IL, 62903-7610
Phone Number
618-658-2611
Fax Number
Provider Enumeration Date
08/03/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
408 E Vine St
City
State
Zip
62995-1612
Phone Number
618-658-2611
Fax Number
person
Provider Business Mailing Address Details
Address
408 E Vine St
City
State
Zip
62995-1612
Phone Number
618-658-2611
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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