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

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1972018182

Jennifer Alice Mallory, CDCA is an Addiction (Substance Use Disorder) Counselor in Fairfield, Ohio. Works from 3 locations. Licensed in Ohio.

Licensed in
OH
In the registry since
2017
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Practice location Address checks out

5108 Sandy Ln
Fairfield, OH 45014
Phone: (513) 834-7063
Fax: (513) 816-7789
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 446 Morgan St, Cincinnati, OH 45206-2348 — (513) 834-7063
  • 6527 Colerain Ave, Cincinnati, OH 45239-5537 — (513) 834-7063

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence CDCA.165090 (OH)

Record details

NPI number1972018182
Entity typeIndividual (Type 1)
GenderFemale
Credentials CDCA
Sole proprietorNo
NPI enumeratedDecember 11, 2017
Last updated in NPPESJuly 9, 2018
Mailing address446 Morgan St, Cincinnati, OH 45206-2348

Other providers in Fairfield