Individual provider · Type 1 NPI

Amanda Renee Shackelford

Mental Health Counselor · Sallisaw, OK

NPI number 1386085728 Active

Practice location

205 S J T Stites Blvd
Sallisaw, OK 74955-9323

Call (918) 775-7787 Map

Fax (918) 775-0328

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1386085728

Amanda Renee Shackelford's National Provider Identifier is 1386085728, issued on Jul 15, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Sallisaw, OK. The record was last updated on Jul 15, 2013.