Mallory, Steven Michael
Mallory, Steven Michael is an individual health care provider with primary practice located at 1500 North 6Th Street , Ponca City OK 74601. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Mallory, Steven Michael can be contacted via phone (580) 762-7561.Contact Information
Primary practice address
1500 North 6Th Street
Ponca City OK 74601
Phone: (580) 762-7561
Fax: (580) 762-5876
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 476 | Oklahoma |
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | LPC1418 | Oklahoma |
Profile Details
NPI number | 1639244080 |
---|---|
LBN Legal business name | Mallory, Steven Michael |
Credentials | LPC LADC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 21st, 2006 |
Last updated | Jun 27th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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