Individual
MARY ANN OMALLOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
10200 ALLIANCE RD STE 150, BLUE ASH, OH 45242-4754
(216) 468-5000
Mailing address
4800 N SCOTTSDALE RD STE 2500, SCOTTSDALE, AZ 85251-7630
(216) 468-5000
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
943881
OH
101YP2500X
Professional Counselor
Primary
E.0004951-SUPV
OH
111NI0900X
Internist Chiropractor
3419
OH
Other
Enumeration date
07/14/2009
Last updated
05/27/2025
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