person
Mr. Steven Michael Mallory, LPCLADC
Mental Health Counselor in Ponca City, Oklahoma
NPI 1639244080

Steven Michael Mallory is a Mental Health Counselor based in Fairfax, OK and is specialized in Mental Health. Steven Michael Mallory practices in Ponca City, OK and has the professional credentials of LPCLADC. The NPI Number for Steven Michael Mallory is 1639244080 and holds a License No. 476 (Oklahoma).

The current practice location address for Steven Michael Mallory is 1500 North 6Th Street, Ponca City, OK and can be reached out via phone at 580-762-7561 and via fax at 580-762-5876. You can also correspond with Steven Michael Mallory through the mailing address at 212 N MAIN ST, FAIRFAX, OK - 74637-3023 (mailing address contact number: 918-642-3100).

Location: 1500 North 6Th Street, Ponca City, OK, 74637-3023
person
Provider Profile Details
NPI Number
1639244080
Provider Name
Steven Michael Mallory
Credential
LPCLADC
Provider Entity Type
Individual
Gender
Male
Address
1500 North 6Th Street, Ponca City, OK, 74637-3023
Phone Number
580-762-7561
Fax Number
580-762-5876
Provider Enumeration Date
11/21/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1500 North 6Th Street
City
State
Zip
74601
Phone Number
580-762-7561
Fax Number
580-762-5876
person
Provider Business Mailing Address Details
Address
1500 North 6Th Street
City
State
Zip
74601
Phone Number
580-762-7561
Fax Number
580-762-5876
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
LPC1418 (Oklahoma)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
476 (Oklahoma)
Definition
Definition to come...
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