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Mallory Kujanek

Counselor, Mental Health in South Pasadena, CA. Individual provider (NPI-1).

NPI number1982258752
StatusActive
Last updated in NPPESAug 4, 2022

Details

NPI
1982258752
Entity type
Individual (NPI-1)
Name
Mallory Kujanek
Sex
Female
Sole proprietor
No
Enumeration date
Jul 30, 2019
Certification date
Aug 4, 2022
Last updated
Aug 4, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health132911CAYes

Practice location

205 Pasadena Ave
South Pasadena, CA 91030-2919

Phone 323-344-5536

Mailing address

205 Pasadena Ave
South Pasadena, CA 91030-2919

Phone 323-344-5536 · Fax 323-344-5550

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