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NPI Code Detail

MEDICARE: MALLORY GERNER LPC ASSOCIATE

MEDICARE:   MALLORY  GERNER  LPC ASSOCIATE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1285395145
Entity Type Code : Individual
Provider Name (Legal Business Name) : MALLORY GERNER LPC ASSOCIATE
Provider Business Mailing Address
First Line : 2214 EMERY ST STE 530
Second Line :
City : DENTON
State : TX
Zip : 76201-2478
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2214 EMERY ST STE 530
Second Line :
City : DENTON
State : TX
Zip : 76201-2478
Country : US
Telephone Number : 940-227-9964
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/04/2022
Last Update Date : 01/04/2022

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Directions to “ MALLORY GERNER LPC ASSOCIATE” Practice Location

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