Walter T. Mallory, M.A. is a mental health counselor in San Rafael, CA. Walter T. Mallory, M.A. NPI is 1750697439. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
555 NORTHGATE DR
SUITE 100
SAN RAFAEL, CA
ZIP 94903-680
Phone: (415) 491-5700
Fax: (415) 491-5750
The enumeration date for this NPI number is 8/19/2010 and was last updated on 12/1/2011.