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

Mallory Mazanek

Individual provider Counselor · NPI 1407524010

Mallory Mazanek is a Counselor in Carterville, Illinois. Registered with an NPI since 2021.

In the registry since
2021
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Practice location Address checks out

403 Municipal Dr
Carterville, IL 62918-2042
Phone: (855) 608-3560
Fax: (618) 956-9349
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1407524010
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 31, 2021
Last updated in NPPESAugust 31, 2021
Certification dateAugust 31, 2021
Mailing address902 W Main St, West Frankfort, IL 62896-2210

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