Mallory Wines, LPC

NPI 1154731354 · on the registry since 2014

Practice

Address: 7880 Lincole Pl
Lisbon, OH 44432
Phone: (330) 424-7221
Fax: (330) 424-3731
Organisation at this address: Community Action Agency Of Columbiana County Inc
Community Action Agency Of Columbiana County, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 17

Registry record

Primary taxonomy: 101YM0800X
101YM0800X
Licence states on file: OH
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2017-02-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio