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Individual

JOE SHALEEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.A., LPC

Contact information

Practice address
16301 SONOMA PARK DR, EDMOND, OK 73013-2091
(405) 412-8326
(405) 621-1451
Mailing address
16301 SONOMA PARK DR, EDMOND, OK 73013-2091
(405) 412-8326
(405) 621-1451

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3999
OK

Other

Enumeration date
09/03/2008
Last updated
09/03/2008
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