Mitchell Shane Mallard, LMHC-S
Mitchell Shane Mallard, LMHC-S is a Mental Health Counselor in Raleigh, North Carolina. Licensed in North Carolina. Registered with an NPI since 2021.
- Licensed in
- NC
- In the registry since
- 2021
Practice location Address checks out
8406 Six Forks Rd Ste 104Raleigh, NC 27615-3075
Phone: (919) 424-6045
Fax: (617) 807-0958
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence S8258 (NC) |
|---|
Record details
| NPI number | 1902490980 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | LMHC-S |
| Sole proprietor | No |
| NPI enumerated | February 22, 2021 |
| Last updated in NPPES | February 22, 2021 |
| Certification date | February 22, 2021 |
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