Individual
JONATHAN MALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
5900 BALCONES DR STE 100, AUSTIN, TX 78731-4298
(210) 504-1972
Mailing address
5900 BALCONES DR STE 100, AUSTIN, TX 78731-4298
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
12578581-3902
UT
106H00000X
Marriage & Family Therapist
Primary
201977
TX
Other
Enumeration date
12/13/2012
Last updated
04/01/2026
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