| Shawn Wall, | |
|
68470 S 315 Rd, Wagoner, OK 74467-6292 | |
| (918) 729-9397 | |
| (918) 482-5136 |
| Full Name | Shawn Wall |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 68470 S 315 Rd, Wagoner, Oklahoma |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649691908 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Shawn Wall, 68470 S 315 Rd, Wagoner, OK 74467-6292 Ph: (918) 729-9397 | Shawn Wall, 68470 S 315 Rd, Wagoner, OK 74467-6292 Ph: (918) 729-9397 |
James C Washington, Counselor Medicare: Not Enrolled in Medicare Practice Location: 301 Se 11th St, Wagoner, OK 74467 Phone: 918-485-5404 Fax: 918-485-8541 | |
Carleen Noe, Counselor Medicare: Not Enrolled in Medicare Practice Location: 301 Se 11th St, Wagoner, OK 74467 Phone: 918-485-8404 Fax: 918-485-8541 | |
Kamilah Scroggins, Counselor Medicare: Not Enrolled in Medicare Practice Location: 68512 S 310 Rd, Wagoner, OK 74467 Phone: 661-972-8815 | |
Debra Williams, Counselor Medicare: Not Enrolled in Medicare Practice Location: 301 Se 11th St, Wagoner, OK 74467 Phone: 918-485-8404 Fax: 918-485-8541 | |
Tracy Lea Martin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 109 S Harrill, Eri, Wagoner, OK 74467 Phone: 918-485-3554 Fax: 918-485-8371 | |
Angelina C Hayes, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2109 S Highway 69, Wagoner, OK 74467 Phone: 918-485-0242 Fax: 918-485-0204 | |
Madison M Medlock, Counselor Medicare: Not Enrolled in Medicare Practice Location: 109 S Harrill Ave, Wagoner, OK 74467 Phone: 918-485-0242 Fax: 918-485-0242 |