Individual
MALLORY R. HOWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13130 BURBANK BLVD, SHERMAN OAKS, CA 91401-6037
(818) 779-5190
(818) 779-5242
Mailing address
13130 BURBANK BLVD, SHERMAN OAKS, CA 91401-6037
(818) 779-5190
(818) 779-5242
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11333
SFGH INTERNAL USE ONLY
—
Enumeration date
07/24/2007
Last updated
06/15/2011
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