Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JORDAN MALLERY
Active Sole ProprietorCounselor · GRAYSLAKE, IL
Registration Details
- NPI Number
- 1891575254
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 3, 2023 (2.5886712423833 yrs)
- Last Updated
- Oct 3, 2023
- Sole Proprietor
- Yes
Practice Information
- Address
-
1190 E WASHINGTON STGRAYSLAKE, IL, 600307960Browse IL providers · Browse ZIP 60030
- Phone
- 8475492235
- Primary Specialty
-
Counselor
101Y00000X
Other Counselor Providers in GRAYSLAKE, IL
| Name | Credential | NPI |
|---|---|---|
| DR. LISA LEVY KEEL | PHD, MA, LCPC | 1295774271 |
| MS. ANNA MARIA MANKOWSKA | M.A. | 1184094773 |
| CAMILLE ELIZABETH ANDRESS | LPC | 1346612389 |
| LINDA MERGENTHALER | — | 1528562139 |
| MR. MOSHE YOSAIF MILLER | — | 1649741414 |
| KAREN KEEFE-DAGUINSIN | — | 1588436786 |
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.