Individual provider · Type 1 NPI

Shaun Robert Grange

Professional Counselor · Shawnee, OK

NPI number 1326677709 Active

Practice location

429 N Union Ave
Shawnee, OK 74801-7019

Call (405) 275-1844 Map

Fax (405) 275-1124

Mailing address

1906 Rain Tree Dr
Shawnee, OK 74804-4426

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XNone listed

Professional Counselor: Definition to come...

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About NPI 1326677709

Shaun Robert Grange's National Provider Identifier is 1326677709, issued on Apr 7, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Shawnee, OK. The record was last updated on Apr 7, 2020.