Shawn Wall
Counselor, Addiction (Substance Use Disorder) in Wagoner, OK. Individual provider (NPI-1).
NPI number1649691908
StatusActive
Last updated in NPPESJan 3, 2014
Details
- NPI
- 1649691908
- Entity type
- Individual (NPI-1)
- Name
- Shawn Wall
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 3, 2014
- Last updated
- Jan 3, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – | Yes |
Practice location
68470 S 315 RdWagoner, OK 74467-6292
Phone 918-729-9397 · Fax 918-482-5136
Mailing address
68470 S 315 RdWagoner, OK 74467-6292
Phone 918-729-9397 · Fax 918-482-5136
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Other Addiction (Substance Use Disorder) Counselor providers in Wagoner, OK
- Brenda Gayle ClarkNPI 1467679175
- Cheryl LeggNPI 1346431343
- Melissa Ann McDaris, BANPI 1700915337
- Jonathan David PierceNPI 1740433358
- James C WashingtonNPI 1003090903
All 6 Addiction (Substance Use Disorder) Counselor providers in Wagoner · All 366 providers in Wagoner
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