Individual
MALLORY ADAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
221 RUE DE JEAN STE 100, LAFAYETTE, LA 70508-8501
(337) 484-3166
Mailing address
104 ABERCROMBIE WAY, YOUNGSVILLE, LA 70592-6895
(256) 503-9990
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
4552
AL
Other
Enumeration date
11/26/2018
Last updated
07/13/2023
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