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Amanda Renee Shackelford
Mental Health Counselor in Sallisaw, Oklahoma
NPI 1386085728

Amanda Renee Shackelford is a Mental Health Counselor based in Sallisaw, OK and is specialized in Mental Health. Amanda Renee Shackelford practices in Sallisaw, OK. The NPI Number for Amanda Renee Shackelford is 1386085728 and holds a License No. (Oklahoma).

The current practice location address for Amanda Renee Shackelford is 205 S J T Stites Blvd, Sallisaw, OK and can be reached out via phone at 918-775-7787 and via fax at 918-775-0328.

Location: 205 S J T Stites Blvd, Sallisaw, OK, 74955-9323
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1386085728
Provider Name
Amanda Renee Shackelford
Credential
Provider Entity Type
Individual
Gender
Female
Address
205 S J T Stites Blvd, Sallisaw, OK, 74955-9323
Phone Number
918-775-7787
Fax Number
918-775-0328
Provider Enumeration Date
07/15/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
205 S J T Stites Blvd
City
Sallisaw
State
Oklahoma
Zip
74955-9323
Phone Number
918-775-7787
Fax Number
918-775-0328
person
Provider Business Mailing Address Details
Address
205 S J T Stites Blvd
City
Sallisaw
State
Oklahoma
Zip
74955-9323
Phone Number
918-775-7787
Fax Number
918-775-0328
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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