Andrea M. Mallory LMHC
Mental Health Counselor in Niceville, FL(View on Map)
Full Name
Andrea Maruzs Mallory LMHC
NPI Number
1205185691
NPI Type
Individual Provider
Gender
Female
Enumeration Date
08/31/2012
Specialties
(Taxonomies)Licenses
State
Florida
License Number
MH11992
Contact
Information
Purpose
Mailing
Location
Address
4516 E HIGHWAY 20 # 3053
4516 E HIGHWAY 20 # 3053
City
Niceville
Niceville
State
FL
FL
Postal Code
32578-9755
32578-9755
Country
US
US
Telephone Number
(448) 256-6190
(448) 256-6190
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 10/06/2023
Provider Address
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