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JENNIFER ALICE MALLORY CDCA
NPI 1972018182
Counselor - Addiction (Substance Use Disorder) in Fairfield, OH

Active since December 11, 2017
5108 SANDY LN, FAIRFIELD, OH 45014(513) 834-7063(513) 816-7789 Get Directions Write a Review

NPPES record last updated: July 9, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 9, 2018, Mar 17, 2018, Dec 11, 2017 (3 updates tracked since 2017).

About Jennifer Alice Mallory Cdca NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER ALICE MALLORY CDCA (NPI 1972018182) is an individual addiction (substance use disorder) provider in Fairfield, Ohio, licensed in Ohio (CDCA.165090) and active in the NPI registry since December 2017. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1972018182
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameJENNIFER ALICE MALLORYCredential: CDCA
Location Address5108 SANDY LNFairfield, OH 45014
Mailing Address446 Morgan StCincinnati, OH 45206-2348 · (513) 834-7063 · Fax (513) 873-1567
Phone(513) 834-7063
Fax(513) 816-7789
Sole ProprietorNo
Enumeration DateDecember 11, 2017
Last NPPES UpdateJuly 9, 20183 updates tracked since enumeration
✔ NPI 1972018182 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in OH · CDCA.165090
5108 SANDY LN, Fairfield, OH 45014
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Other Names 1

Other Name (5)Jenny Alice Mallory Cdca

Secondary Practice Locations 2

Location 1446 Morgan StCincinnati, OH 45206-2348 · Phone (513) 834-7063 ext. 13101 · Fax (513) 954-4242
Location 26527 Colerain AveCincinnati, OH 45239-5537 · Phone (513) 834-7063 ext. 13101 · Fax (513) 245-0531

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATRINA KANIGOSKI LCDCII
Counselor (Addiction (Substance Use Disorder))
5108 SANDY LN
FAIRFIELD, OH 45014
Butler County (513) 834-7063
EMILY TAPP RN
Registered Nurse
5108 SANDY LN
FAIRFIELD, OH 45014
Butler County (866) 772-4003
MRS. RAQUEL MARSHAY CAMACHO LPN
Licensed Practical Nurse
5108 SANDY LN
FAIRFIELD, OH 45014
Butler County (513) 834-7063
STEPHANIE ANN GLACKING LICDC
Counselor (Addiction (Substance Use Disorder))
5108 SANDY LN
FAIRFIELD, OH 45014
Butler County (513) 834-7063
MISS LINDSEY DANIELLE CHILDS LPN
Licensed Practical Nurse
5108 SANDY LN
FAIRFIELD, OH 45014
Butler County (833) 510-4357
RIVA OLIPHANT CDCA
Counselor (Addiction (Substance Use Disorder))
5108 SANDY LN
FAIRFIELD, OH 45014
Butler County (513) 834-7063
RACHEL R KISSICK CDCA
Counselor (Addiction (Substance Use Disorder))
5108 SANDY LN
FAIRFIELD, OH 45014
Butler County (513) 834-7063
CHELSEA AMANDA SMITH CDCA
Counselor (Addiction (Substance Use Disorder))
5108 SANDY LN
FAIRFIELD, OH 45014
Butler County (866) 934-7450

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Mallory's NPI number?

The NPI number for Jennifer Mallory is 1972018182. It was assigned to this individual provider in the NPPES registry on December 11, 2017. The provider is also known as Jenny Alice Mallory Cdca.

Where is Jennifer Mallory located?

Jennifer Mallory practices at 5108 Sandy Ln, Fairfield, OH 45014. The listed phone number is (513) 834-7063.

What is Jennifer Mallory's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Jennifer Mallory was last updated on July 9, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.