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Janis C Mallard, LMFT

Marriage & Family Therapist in Greenville, NC. Individual provider (NPI-1).

NPI number1649335175
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1649335175
Entity type
Individual (NPI-1)
Name
Janis C Mallard
Credential
LMFT
Sex
Female
Sole proprietor
No
Enumeration date
Dec 26, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106H00000X Marriage & Family Therapist940NCYes

Practice location

925 Conference Dr
Greenville, NC 27858-5971

Phone 252-756-4899 · Fax 252-756-5141

Mailing address

2626 Brookridge Cir
Greenville, NC 27858-5563

Phone 252-355-3746

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