Shannon J Mallam
Shannon J Mallam is a Mental Health Counselor in Oklahoma City, Oklahoma. Registered with an NPI since 2018.
- In the registry since
- 2018
Practice location Address checks out
4400 N Lincoln BlvdOklahoma City, OK 73105-5108
Phone: (405) 424-7711
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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 |
|---|
Record details
| NPI number | 1720585193 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | April 11, 2018 |
| Last updated in NPPES | October 1, 2018 |
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