| Mallory Kroll, Lmhc, Llc | |
|
19 Muzzey St Ste 301 Lexington MA 02421-5211 | |
| (781) 218-9159 | |
| Not Available |
| Full Name | Mallory Kroll, Lmhc, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 19 Muzzey St Ste 301, Lexington, Massachusetts |
| Authorized Official Name and Position | Mallory Kroll (OWNER) |
| Authorized Official Contact | 7812189159 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mallory Kroll, Lmhc, Llc 103 Bartlett Ave # 1 Arlington MA 02476-7951 Ph: () - | Mallory Kroll, Lmhc, Llc 19 Muzzey St Ste 301 Lexington MA 02421-5211 Ph: (781) 218-9159 |
| NPI Number | 1194223818 |
|---|---|
| Provider Enumeration Date | 01/28/2018 |
| Last Update Date | 01/28/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194223818 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 9380 (Massachusetts) | Primary |
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