Mallory, Kimberly

Mallory, Kimberly is an individual health care provider with primary practice located at 810 N State St , Ukiah CA 95482-3410. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Mallory, Kimberly can be contacted via phone (707) 462-7267.

Contact Information

Primary practice address
810 N State St Ukiah CA 95482-3410
Phone: (707) 462-7267
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1891239968
LBN Legal business name Mallory, Kimberly
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2016
Last updated Jul 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.

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