IndividualActive
Andrea Mallory
NPI 1194696385 · Mental Health Counselor · La Grande, OR
Provider details
- NPI number
- 1194696385
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Practice location
105 Fir St Ste 327
Suite 327
La Grande, OR 97850-2663
Phone: (541) 246-3638
Fax: (541) 234-3777
Mailing address
105 Fir St Ste 327
La Grande, OR 97850-2663
Registry dates
- Enumerated
- 2025-09-12
- Last updated
- 2025-09-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.