person
Larry Mallory, LCDCII
Addiction (Substance Use Disorder) Counselor in Columbus, Ohio
NPI 1134655640

Larry Mallory is an Addiction (Substance Use Disorder) Counselor based in Galena, OH and is specialized in Addiction (Substance Use Disorder). Larry Mallory practices in Columbus, OH and has the professional credentials of LCDCII. The NPI Number for Larry Mallory is 1134655640 and holds a License No. 976259 (Ohio).

The current practice location address for Larry Mallory is 1515 E Broad St, Columbus, OH and can be reached out via phone at 614-251-0711.

Location: 1515 E Broad St, Columbus, OH, 43021-9482
person
Provider Profile Details
NPI Number
1134655640
Provider Name
Larry Mallory
Credential
LCDCII
Provider Entity Type
Individual
Gender
Male
Address
1515 E Broad St, Columbus, OH, 43021-9482
Phone Number
614-251-0711
Fax Number
Provider Enumeration Date
05/03/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1515 E Broad St
City
State
Zip
43205-1550
Phone Number
614-251-0711
Fax Number
person
Provider Business Mailing Address Details
Address
1515 E Broad St
City
State
Zip
43205-1550
Phone Number
614-251-0711
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
976259 (Ohio)
Definition
Definition to come...
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