person
Jennifer Alice Mallory, CDCA
Addiction (Substance Use Disorder) Counselor in Fairfield, Ohio
NPI 1972018182

Jennifer Alice Mallory is an Addiction (Substance Use Disorder) Counselor based in Cincinnati, OH and is specialized in Addiction (Substance Use Disorder). Jennifer Alice Mallory practices in Fairfield, OH and has the professional credentials of CDCA. The NPI Number for Jennifer Alice Mallory is 1972018182 and holds a License No. CDCA.165090 (Ohio).

The current practice location address for Jennifer Alice Mallory is 5108 Sandy Ln, Fairfield, OH and can be reached out via phone at 513-834-7063 and via fax at 513-816-7789.

Location: 5108 Sandy Ln, Fairfield, OH, 45206-2348
person
Provider Profile Details
NPI Number
1972018182
Provider Name
Jennifer Alice Mallory
Credential
CDCA
Provider Entity Type
Individual
Gender
Female
Address
5108 Sandy Ln, Fairfield, OH, 45206-2348
Phone Number
513-834-7063
Fax Number
513-816-7789
Provider Enumeration Date
12/11/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5108 Sandy Ln
City
State
Zip
45014
Phone Number
513-834-7063
Fax Number
513-816-7789
person
Provider Business Mailing Address Details
Address
5108 Sandy Ln
City
State
Zip
45014
Phone Number
513-834-7063
Fax Number
513-816-7789
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
CDCA.165090 (Ohio)
Definition
Definition to come...
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