Ebony Mallard, LPC Valid NPI

Individual provider · Professional Counselor · Brookhaven, GA

NPI

1942560412

Type

Individual (Type 1)

Primary specialty

Professional Counselor (Counselor)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

101YP2500X

License number

LPC006830 (GA)

Sex

Female

Sole proprietor

Yes

Enumerated

2012-05-18

Last updated

2025-03-11