Darrel Paul Mally
Counselor in Las Vegas, NV. Individual provider (NPI-1).
NPI number1649570565
StatusActive
Last updated in NPPESOct 26, 2010
Details
- NPI
- 1649570565
- Entity type
- Individual (NPI-1)
- Name
- Mr. Darrel Paul Mally
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 26, 2010
- Last updated
- Oct 26, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | – | – | Yes |
Practice location
6171 W Charleston BlvdBuilding #14
Las Vegas, NV 89146-1126
Phone 702-486-7667
Mailing address
1701 Rock Springs DrApartment #2144
Las Vegas, NV 89128-3126
Phone 702-553-6139
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