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Stacy Lea Wallace, NCC
Counselor in Pawnee, Oklahoma
NPI 1003249848

Stacy Lea Wallace is a Counselor based in Pawnee, OK. Stacy Lea Wallace practices in Pawnee, OK and has the professional credentials of NCC. The NPI Number for Stacy Lea Wallace is 1003249848 and holds a License No. (Oklahoma).

The current practice location address for Stacy Lea Wallace is 540 Illinois St, Pawnee, OK and can be reached out via phone at 918-762-1045.

Location: 540 Illinois St, Pawnee, OK, 74058-2036
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003249848
Provider Name
Stacy Lea Wallace
Credential
NCC
Provider Entity Type
Individual
Gender
Female
Address
540 Illinois St, Pawnee, OK, 74058-2036
Phone Number
918-762-1045
Fax Number
Provider Enumeration Date
08/15/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
540 Illinois St
City
Pawnee
State
Oklahoma
Zip
74058-2036
Phone Number
918-762-1045
Fax Number
person
Provider Business Mailing Address Details
Address
540 Illinois St
City
Pawnee
State
Oklahoma
Zip
74058-2036
Phone Number
918-762-1045
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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