Individual
MALLORY ALYSSE SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGPC
Contact information
Practice address
5656 JOSEPH CT, NEW MARKET, MD 21774
(202) 750-1028
Mailing address
327 E RIDGEVILLE BLVD # 312, MOUNT AIRY, MD 21771-5201
(202) 750-1028
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LGP10103
MD
Other
Enumeration date
02/21/2022
Last updated
02/21/2022
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