Individual provider · Type 1 NPI

Angela Lee Shores

Mental Health Counselor · Mcalester, OK

NPI number 1578883955 Active

Practice location

400 E Wyandotte Ave
Mcalester, OK 74501-5464

Fax (918) 420-5717

Mailing address

PO Box 415
Mcalester, OK 74502-0415

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1578883955

Angela Lee Shores's National Provider Identifier is 1578883955, issued on Jun 8, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Mcalester, OK. The record was last updated on Jun 8, 2010.