Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shawn Wall

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1649691908

Shawn Wall is an Addiction (Substance Use Disorder) Counselor in Wagoner, Oklahoma. Practices as a sole proprietor. Registered with an NPI since 2014.

In the registry since
2014

Practice location Address checks out

68470 S 315 Rd
Wagoner, OK 74467-6292
Phone: (918) 729-9397
Fax: (918) 482-5136
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X

Record details

NPI number1649691908
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 3, 2014
Last updated in NPPESJanuary 3, 2014
Mailing address68470 S 315 Rd, Wagoner, OK 74467-6292

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