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

Prof. Tisha Mallon, LAC, DIPLAC

Individual provider Acupuncturist · NPI 1588082911

Prof. Tisha Mallon, LAC, DIPLAC is an Acupuncturist in Corte Madera, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2014
What do these letters mean?
LAC — Licensed Associate Counselor
A counsellor practising under supervision toward full licensure. In some states the same letters mean Licensed Acupuncturist.

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Practice location Address checks out

21 Tamal Vista Blvd
Corte Madera, CA 94925-1130
Phone: (415) 378-3039
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acupuncturist (primary) Taxonomy 171100000X · Licence AC 4302 (CA)

Record details

NPI number1588082911
Entity typeIndividual (Type 1)
GenderFemale
Credentials LAC , DIPLAC
Sole proprietorYes
NPI enumeratedApril 2, 2014
Last updated in NPPESDecember 18, 2019
Certification dateDecember 18, 2019

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