IndividualActive
Amanda Shackelford
NPI 1386085728 · Mental Health Counselor · Sallisaw, OK
Provider details
- NPI number
- 1386085728
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
205 S J T Stites Blvd
Sallisaw, OK 74955-9323
Phone: (918) 775-7787
Fax: (918) 775-0328
Approximate (ZIP-level) locationGet directions
Mailing address
205 S J T Stites Blvd
Sallisaw, OK 74955-9323
Registry dates
- Enumerated
- 2013-07-15
- Last updated
- 2013-07-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.