Mitchell Shane Mallard, LMHC-S is a mental health counselor in Raleigh, NC. Mitchell Shane Mallard, LMHC-S NPI is 1902490980. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
8406 SIX FORKS RD STE 104
RALEIGH, NC
ZIP 27615-075
Phone: (919) 424-6045
Fax: (617) 807-0958
The enumeration date for this NPI number is 2/22/2021 and was last updated on 2/22/2021.