Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jennifer Alice Mallory, CDCA

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1972018182

Jennifer Alice Mallory, CDCA is an Addiction (Substance Use Disorder) Counselor in Fairfield, Ohio. Works from 3 locations. Licensed in Ohio.

Licensed in
OH
In the registry since
2017

Practice location Address checks out

5108 Sandy Ln
Fairfield, OH 45014
Phone: (513) 834-7063
Fax: (513) 816-7789
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 446 Morgan St, Cincinnati, OH 45206-2348 — (513) 834-7063
  • 6527 Colerain Ave, Cincinnati, OH 45239-5537 — (513) 834-7063

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence CDCA.165090 (OH)

Record details

NPI number1972018182
Entity typeIndividual (Type 1)
GenderFemale
Credentials CDCA
Sole proprietorNo
NPI enumeratedDecember 11, 2017
Last updated in NPPESJuly 9, 2018

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