person
Alyssia Jeaneese Mallory
Addiction (Substance Use Disorder) Counselor in Sacramento, California
NPI 1972164192

Alyssia Jeaneese Mallory is an Addiction (Substance Use Disorder) Counselor based in Sacramento, CA and is specialized in Addiction (Substance Use Disorder). Alyssia Jeaneese Mallory practices in Sacramento, CA. The NPI Number for Alyssia Jeaneese Mallory is 1972164192 and holds a License No. (California).

The current practice location address for Alyssia Jeaneese Mallory is 4343 Williamsbourgh Dr, Sacramento, CA and can be reached out via phone at 915-395-3552.

Location: 4343 Williamsbourgh Dr, Sacramento, CA, 95823-2006
person
Provider Profile Details
NPI Number
1972164192
Provider Name
Alyssia Jeaneese Mallory
Credential
Provider Entity Type
Individual
Gender
Female
Address
4343 Williamsbourgh Dr, Sacramento, CA, 95823-2006
Phone Number
915-395-3552
Fax Number
Provider Enumeration Date
06/27/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
12345 01 N/A
12345 01 INTERCOASTCOLLEGE
institution
Provider Business Practice Location Address Details
Address
4343 Williamsbourgh Dr
City
State
Zip
95823
Phone Number
915-395-3552
Fax Number
person
Provider Business Mailing Address Details
Address
4343 Williamsbourgh Dr
City
State
Zip
95823
Phone Number
915-395-3552
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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