Individual provider · Type 1 NPI

Steven Michael Mallory, LPC LADC

Mental Health Counselor · Ponca City, OK

NPI number 1639244080 Active

Practice location

1500 North 6th Street
Ponca City, OK 74601

Call (580) 762-7561 Map

Fax (580) 762-5876

Mailing address

212 N Main St
Fairfax, OK 74637-3023

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X476 (OK)
Mental Health Counselor Primary 101YM0800XLPC1418 (OK)

Mental Health Counselor: Definition to come...

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About NPI 1639244080

Steven Michael Mallory, LPC LADC's National Provider Identifier is 1639244080, issued on Nov 21, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Ponca City, OK. The record was last updated on Jun 27, 2023.