| Mallory Gollick, Lpc | |
|
950 S Cherry St Glendale CO 80246-2699 | |
| (303) 520-8096 | |
| Not Available |
| Full Name | Mallory Gollick, Lpc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 950 S Cherry St, Glendale, Colorado |
| Authorized Official Name and Position | Mallory Gollick (CLINICIAN) |
| Authorized Official Contact | 3035208096 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mallory Gollick, Lpc 609 S Gaylord St Denver CO 80209-4627 Ph: () - | Mallory Gollick, Lpc 950 S Cherry St Glendale CO 80246-2699 Ph: (303) 520-8096 |
| NPI Number | 1255710414 |
|---|---|
| Provider Enumeration Date | 05/21/2015 |
| Last Update Date | 05/21/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255710414 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LPC.0012290 (Colorado) | Primary |
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