Individual
JENNIFER MALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
1227 N HONORE ST, 3, CHICAGO, IL 60622-3119
(773) 540-9261
(773) 540-9261
Mailing address
1227 N HONORE ST, 3, CHICAGO, IL 60622-3119
(773) 540-9261
(773) 540-9261
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180004361
IL
101YP2500X
Professional Counselor
LCPC03478
KS
Other
Enumeration date
10/02/2006
Last updated
06/27/2023
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