person
Mitchell Shane Mallard, LMHC-S
Mental Health Counselor in Raleigh, North Carolina
NPI 1902490980

Mitchell Shane Mallard is a Mental Health Counselor based in Lynchburg, NC and is specialized in Mental Health. Mitchell Shane Mallard practices in Raleigh, NC and has the professional credentials of LMHC-S. The NPI Number for Mitchell Shane Mallard is 1902490980 and holds a License No. S8258 (North Carolina).

The current practice location address for Mitchell Shane Mallard is 8406 Six Forks Rd Ste 104, Raleigh, NC and can be reached out via phone at 919-424-6045 and via fax at 617-807-0958.

Location: 8406 Six Forks Rd Ste 104, Raleigh, NC, 24504-1724
person
Provider Profile Details
NPI Number
1902490980
Provider Name
Mitchell Shane Mallard
Credential
LMHC-S
Provider Entity Type
Individual
Gender
Male
Address
8406 Six Forks Rd Ste 104, Raleigh, NC, 24504-1724
Phone Number
919-424-6045
Fax Number
617-807-0958
Provider Enumeration Date
02/22/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
8406 Six Forks Rd Ste 104
City
State
Zip
27615-3075
Phone Number
919-424-6045
Fax Number
617-807-0958
person
Provider Business Mailing Address Details
Address
8406 Six Forks Rd Ste 104
City
State
Zip
27615-3075
Phone Number
919-424-6045
Fax Number
617-807-0958
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
S8258 (North Carolina)
Definition
Definition to come...
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