Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
IVORY G MALLORY
Active Sole ProprietorIVORY G MALLORY is a Addiction (Substance Use Disorder) Counselor healthcare provider located in SAN ANTONIO, Texas. NPI 1316553191 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · SAN ANTONIO, TX
Registration Details
- NPI Number
- 1316553191
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 17, 2020 (5.8975742888415 yrs)
- Last Updated
- Sep 17, 2020
- License
-
15154 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6800 PARK TEN BLVD STE 200SSAN ANTONIO, TX, 782134293Browse TX providers · Browse ZIP 78213
- Phone
- 2102611000
- Fax
- 2102611821
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in SAN ANTONIO, TX
| Name | Credential | NPI |
|---|---|---|
| MR. DONALD L. KNOLL | M.S.W. | 1649263237 |
| MRS. DOLORES THERESE REDDICK | LCSW, LCDC | 1679689673 |
| MS. PATRICIA ANN TEBBS GATES | MA MED LPC LCDC | 1205945441 |
| MR. GUILLERMO RODRIGUEZ | LCDC | 1295833770 |
| MR. GREGORY LOWELL STEWART | DAC | 1538260641 |
| MR. STEVE CANTU | LCDC | 1033210729 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.