Individual
MALLORY MCCANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, NCC, BC-TMH
Contact information
Practice address
7472 HIGHLAND RD, BATON ROUGE, LA 70808-6611
(225) 448-3359
Mailing address
417 S JOHNSON ST, NEW ORLEANS, LA 70112-2237
(972) 391-4450
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
6507
LA
101YM0800X
Mental Health Counselor
Primary
6507
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6507
LPC LICENSE
LA
Enumeration date
05/09/2016
Last updated
07/27/2023
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