Everett, Mallory S

Everett, Mallory S is an individual health care provider with primary practice located at 15 Engle St , Englewood NJ 07631-2936. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Everett, Mallory S can be contacted via phone (718) 664-5915.

Contact Information

Primary practice address
15 Engle St Englewood NJ 07631-2936
Phone: (718) 664-5915
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 37PC00651600 New Jersey

Profile Details

NPI number 1285104430
LBN Legal business name Everett, Mallory S
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2018
Last updated Nov 30th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers