NPI 1043628555 MALLORY MOLLE SAN PEDRO CA. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Mallory Molle - NPI: 1043628555

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: MALLORY MOLLE
NPI Number: 1043628555
Entity Type Code: Individual (1)
Gender: F
Credentials:
License Number: IMF #75875
Business Practice Address: 1200 N Main St Ste 630
Santa Ana, CA - 927013633
Business Phone Number: 7148248150
Business Fax Number:
Mailing Address: 730 W 11th St,
SAN PEDRO
State: CA
Postal Code: 907314026
Phone Number:
Fax Number:
NPI Enumeration Date: 07/28/2014
NPI Last Update Date: 07/28/2014
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 106H00000X
License Number: IMF #75875
Healthcare Provider Taxonomy:
(Secondary)
Y
State: CA
Taxonomy Type: Behavioral Health & Social Service Providers
Taxonomy Classification: Marriage & Family Therapist
Taxonomy Specialization:
Taxonomy Definition:
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.


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