Individual
MALISA HALLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MBS,LBP
Contact information
Practice address
301 N HIGH ST, ANTLERS, OK 74523-2238
(580) 271-7055
(580) 271-7056
Mailing address
PO BOX 542, ANTLERS, OK 74523-0542
(580) 271-1638
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
0340
OK
Other
Enumeration date
04/13/2007
Last updated
04/08/2021
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