Danny Leon Mallory Jr, LMFT 132578 | |
511 N Brookhurst St Ste 200, Anaheim, CA 92801-5229 | |
(657) 276-4309 | |
Not Available |
Full Name | Danny Leon Mallory Jr |
---|---|
Gender | Male |
Speciality | Marriage & Family Therapist |
Location | 511 N Brookhurst St Ste 200, Anaheim, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982980272 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | 132578 (California) | Primary |
Entity Name | College Community Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043354624 PECOS PAC ID: 4183767999 Enrollment ID: O20100415000405 |
Mailing Address | Practice Location Address |
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Danny Leon Mallory Jr, LMFT 132578 511 N Brookhurst St Ste 200, Anaheim, CA 92801-5229 Ph: (657) 276-4309 | Danny Leon Mallory Jr, LMFT 132578 511 N Brookhurst St Ste 200, Anaheim, CA 92801-5229 Ph: (657) 276-4309 |
Asmeret Hagos, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2035 E Ball Rd Ste 100c, Anaheim, CA 92806 Phone: 714-517-6110 | |
Ms. Aida Silva Viveros, MARRIAGE FAMILY THER Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2035 E Ball Rd Ste 100a, Anaheim, CA 92806 Phone: 714-517-6140 Fax: 714-517-6169 | |
Valanda L German Ii, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 100 N Rob Way # 316, Anaheim, CA 92801 Phone: 714-699-8705 | |
Donna K Duane, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 411 N Lakeview Ave, Anaheim, CA 92807 Phone: 888-988-2800 Fax: 626-405-6768 | |
Mr. Richard Lawrence Cavin, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 324 E Broadway # F, Anaheim, CA 92805 Phone: 619-739-3854 | |
Eric Burk, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2531 W Woodland Dr, Anaheim, CA 92801 Phone: 714-226-9888 | |
Louis Pukil An, AMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2531 W Woodland Dr, Anaheim, CA 92801 Phone: 714-226-9888 |