Bradley Mallory
Counselor, Mental Health in Reno, NV. Individual provider (NPI-1).
NPI number1669916375
StatusActive
Last updated in NPPESDec 14, 2016
Details
- NPI
- 1669916375
- Entity type
- Individual (NPI-1)
- Name
- Bradley Mallory
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 14, 2016
- Last updated
- Dec 14, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
3650 Warren WayReno, NV 89509-5240
Phone 775-470-8345
Mailing address
3650 Warren WayReno, NV 89509-5240
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