MR. Jack Eugene Mallery LPC

  • NPI 1700969383
According to our database, the NPI number for MR. Jack Eugene Mallery LPC is 1700969383 and activated since 17 years ago. MR. Jack Eugene Mallery LPC is an individual provider who specializes in Addiction (Substance Use Disorder), and the primary practice location is 7305 Hampton Blvd, Norfolk, VA 23505. You can also contact MR. Jack Eugene Mallery LPC via telephone number is (757) 623-2700. Provider NPI information was last updated on 04/08/2011.

Recently Active NPIs

Overview of MR. Jack Eugene Mallery LPC

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 10/24/2006
  • Last updated: 04/08/2011

Primary Scrop of Practice

  • Taxonomy Code: 101YA0400X
  • Specialty: Addiction (Substance Use Disorder)
  • License Number: 0718000021
  • License State: VA

Provider Mailing Address

  • Address: 2114 Bayberry St
    Virginia Beach, VA 23451
  • Phone: 757-481-2485
  • Fax:

Provider Practice Location

  • Address: 7305 Hampton Blvd
    Norfolk, VA 23505
  • Phone: 757-623-2700
  • Fax: 757-640-1058

Scope of Practice

  • Taxonomy Code: 101YA0400X
  • Specialty: Addiction (Substance Use Disorder)
  • License Number: 0718000021
  • License State: VA
  • Switch: No

Legacy Identifiers

  • Provider Identifier: 004945395
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: VA
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for MR. Jack Eugene Mallery LPC?
  • A: The npi number for MR. Jack Eugene Mallery LPC is 1700969383.
  • Q: What are MR. Jack Eugene Mallery LPC's specialties?
  • A: MR. Jack Eugene Mallery LPC's specialties are Addiction (Substance Use Disorder) and different specialities.
  • Q: What is the medical license for MR. Jack Eugene Mallery LPC?
  • A: The medical license number for MR. Jack Eugene Mallery LPC is 0718000021 and issued in VA in USA.
  • Q: Where is MR. Jack Eugene Mallery LPC practice location?
  • A: MR. Jack Eugene Mallery LPC is practicing at 7305 Hampton Blvd, Norfolk, VA 23505.
  • Q: How to contact MR. Jack Eugene Mallery LPC?
  • A: You can contact MR. Jack Eugene Mallery LPC via 757-623-2700.