Ivory G Mallory
Ivory G Mallory is an Addiction (Substance Use Disorder) Counselor in San Antonio, Texas. Practices as a sole proprietor. Licensed in Texas.
- Licensed in
- TX
- In the registry since
- 2020
Practice location Address checks out
6800 Park Ten Blvd Ste 200SSan Antonio, TX 78213-4293
Phone: (210) 261-1000
Fax: (210) 261-1821
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence 15154 (TX) |
|---|
Record details
| NPI number | 1316553191 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | September 17, 2020 |
| Last updated in NPPES | September 17, 2020 |
| Certification date | September 17, 2020 |
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