Individual
JANIS C MALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
925 CONFERENCE DR, GREENVILLE, NC 27858-5971
(252) 756-4899
(252) 756-5141
Mailing address
2626 BROOKRIDGE CIR, GREENVILLE, NC 27858-5563
(252) 355-3746
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
940
NC
Other
Enumeration date
12/26/2006
Last updated
07/08/2007
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