MITCHELL SHANE MALLARD

RALEIGH, NC
NPI1902490980
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: NC  S8258)
Enumeration Date2021-02-22
Last Update Date2021-02-22
Business Address
MITCHELL SHANE MALLARD LMHC-S
8406 SIX FORKS RD STE 104
RALEIGH, NC 27615-3075
Phone number: 919-424-6045
Mailing Address
MITCHELL SHANE MALLARD LMHC-S
1000 JEFFERSON ST STE 2C
LYNCHBURG, VA 24504-1724
Phone number:
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