person
Mrs. Patricia Irene Wallace, LPC,LADC
Mental Health Counselor in Hugo, Oklahoma
NPI 1043336704

Patricia Irene Wallace is a Mental Health Counselor based in Hugo, OK and is specialized in Mental Health. Patricia Irene Wallace practices in Hugo, OK and has the professional credentials of LPC,LADC. The NPI Number for Patricia Irene Wallace is 1043336704 and holds a License No. 3190 (Oklahoma).

The current practice location address for Patricia Irene Wallace is 104 N 4Th St, Hugo, OK and can be reached out via phone at 580-326-7531 and via fax at 580-326-2377.

Location: 104 N 4Th St, Hugo, OK, 74743-4003
person
Provider Profile Details
NPI Number
1043336704
Provider Name
Patricia Irene Wallace
Credential
LPC,LADC
Provider Entity Type
Individual
Gender
Female
Address
104 N 4Th St, Hugo, OK, 74743-4003
Phone Number
580-326-7531
Fax Number
580-326-2377
Provider Enumeration Date
03/22/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
104 N 4Th St
City
State
Zip
74743-4003
Phone Number
580-326-7531
Fax Number
580-326-2377
person
Provider Business Mailing Address Details
Address
104 N 4Th St
City
State
Zip
74743-4003
Phone Number
580-326-7531
Fax Number
580-326-2377
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
3190 (Oklahoma)
Definition
Definition to come...
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