JORDAN MALLERY
Counselor
Active
Individual
NPI: 1891575254
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor | 101Y00000X | Yes | - |
Frequently Asked Questions
NPI 1891575254 is the National Provider Identifier for JORDAN MALLERY, a Counselor provider located in Grayslake, IL. This NPI was enumerated on October 3, 2023.
JORDAN MALLERY practices at 1190 E WASHINGTON ST, Grayslake, IL 60030.
Quick Facts
- NPI
- 1891575254
- Type
- Individual
- Enumerated
- Oct 3, 2023
- Last Updated
- Oct 3, 2023
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