Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jamie Rae Mallory

Individual provider Mental Health Counselor · NPI 1013317197

Jamie Rae Mallory is a Mental Health Counselor in Santa Rosa, California. Licensed in California. Registered with an NPI since 2014.

Licensed in
CA
In the registry since
2014
Specialties on file
2

Practice location Address checks out

2255 Challenger Way
Santa Rosa, CA 95407-2928
Phone: (707) 326-0137
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 168350 (CA)
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1013317197
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 26, 2014
Last updated in NPPESJuly 13, 2025
Certification dateJuly 13, 2025

Other providers in Santa Rosa