Individual
MS. MALLORY GRACE ZELAYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
14600 SHERMAN WAY STE 100D, VAN NUYS, CA 91405-2283
(818) 374-6901
Mailing address
14600 SHERMAN WAY STE 100D, VAN NUYS, CA 91405-2283
(818) 374-6901
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
10528
CA
101YP2500X
Professional Counselor
5636
CA
Other
Enumeration date
05/23/2019
Last updated
10/20/2021
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