Jordan Mallery
Jordan Mallery is a Counselor in Grayslake, Illinois. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
1190 E Washington StGrayslake, IL 60030-7960
Phone: (847) 549-2235
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Specialties & licences
| Counselor (primary) | Taxonomy 101Y00000X |
|---|
Record details
| NPI number | 1891575254 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | October 3, 2023 |
| Last updated in NPPES | October 3, 2023 |
| Certification date | October 3, 2023 |
| Mailing address | 1190 E Washington St, Grayslake, IL 60030-7960 |
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