Individual
SHALLEN MCKINESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6610 S 23RD AVE, PHOENIX, AZ 85041-5302
(520) 217-0445
Mailing address
6610 S 23RD AVE, PHOENIX, AZ 85041-5302
(520) 217-0445
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/08/2022
Last updated
08/08/2022
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