Individual provider · Type 1 NPI
Shawn Wall
Addiction (Substance Use Disorder) Counselor · Wagoner, OK
NPI number
1649691908
Active
Practice location
68470 S 315 Rd
Wagoner, OK 74467-6292
Fax (918) 482-5136
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1649691908
Shawn Wall's National Provider Identifier is 1649691908, issued on Jan 3, 2014. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Wagoner, OK. The record was last updated on Jan 3, 2014.