Individual
MITCHELL BENNETT MALLORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
825 ALA LILIKOI ST APT 2, HONOLULU, HI 96818-2421
(808) 377-4733
Mailing address
825 ALA LILIKOI ST APT 2, HONOLULU, HI 96818-2421
(808) 377-4733
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LSW-3220
HI
Other
Enumeration date
05/12/2025
Last updated
05/12/2025
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