person
Shawn Wall
Addiction (Substance Use Disorder) Counselor in Wagoner, Oklahoma
NPI 1649691908

Shawn Wall is an Addiction (Substance Use Disorder) Counselor based in Wagoner, OK and is specialized in Addiction (Substance Use Disorder). Shawn Wall practices in Wagoner, OK. The NPI Number for Shawn Wall is 1649691908 and holds a License No. (Oklahoma).

The current practice location address for Shawn Wall is 68470 S 315 Rd, Wagoner, OK and can be reached out via phone at 918-729-9397 and via fax at 918-482-5136.

Location: 68470 S 315 Rd, Wagoner, OK, 74467-6292
person
Provider Profile Details
NPI Number
1649691908
Provider Name
Shawn Wall
Credential
Provider Entity Type
Individual
Gender
Female
Address
68470 S 315 Rd, Wagoner, OK, 74467-6292
Phone Number
918-729-9397
Fax Number
918-482-5136
Provider Enumeration Date
01/03/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
68470 S 315 Rd
City
State
Zip
74467-6292
Phone Number
918-729-9397
Fax Number
918-482-5136
person
Provider Business Mailing Address Details
Address
68470 S 315 Rd
City
State
Zip
74467-6292
Phone Number
918-729-9397
Fax Number
918-482-5136
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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