Individual
MALLORY OSTERLOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
3526 N CALIFORNIA AVE STE 203, PEORIA, IL 61603-1164
(815) 408-0522
Mailing address
3526 N CALIFORNIA AVE STE 203, PEORIA, IL 61603-1164
(815) 408-0522
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
180010371
IL
Other
Enumeration date
08/26/2025
Last updated
08/26/2025
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