JAMIE RAE MALLORY

SANTA ROSA, CA
NPI1013317197
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2014-08-26
Last Update Date2024-06-04
Business Address
JAMIE RAE MALLORY
2255 CHALLENGER WAY
SANTA ROSA, CA 95407-2928
Phone number: 707-326-0137
Mailing Address
JAMIE RAE MALLORY
2255 CHALLENGER WAY
SANTA ROSA, CA 95407-5423
Phone number: 707-326-0137