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Gwendolyn Mallory, QMHA
Addiction (Substance Use Disorder) Counselor in Las Vegas, Nevada
NPI 1225666597

Gwendolyn Mallory is an Addiction (Substance Use Disorder) Counselor based in Las Vegas, NV and is specialized in Addiction (Substance Use Disorder). Gwendolyn Mallory practices in Las Vegas, NV and has the professional credentials of QMHA. The NPI Number for Gwendolyn Mallory is 1225666597 and holds a License No. 02632-I (Nevada).

The current practice location address for Gwendolyn Mallory is 4550 W Sahara Ave Apt 1241, Las Vegas, NV and can be reached out via phone at 909-600-8373.

Location: 4550 W Sahara Ave Apt 1241, Las Vegas, NV, 89102-3648
person
Provider Profile Details
NPI Number
1225666597
Provider Name
Gwendolyn Mallory
Credential
QMHA
Provider Entity Type
Individual
Gender
Female
Address
4550 W Sahara Ave Apt 1241, Las Vegas, NV, 89102-3648
Phone Number
909-600-8373
Fax Number
Provider Enumeration Date
03/31/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4550 W Sahara Ave Apt 1241
City
State
Zip
89102-3648
Phone Number
909-600-8373
Fax Number
person
Provider Business Mailing Address Details
Address
4550 W Sahara Ave Apt 1241
City
State
Zip
89102-3648
Phone Number
909-600-8373
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
02632-I (Nevada)
Definition
Definition to come...
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