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Jim Wallace & Associates, Inc
Mental Health Clinic/Center (Including Community Mental Health Center) in Ardmore, Oklahoma
NPI 1043980188

Jim Wallace & Associates, Inc is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Wynnewood, OK and is specialized in Mental Health (Including Community Mental Health Center). Jim Wallace & Associates, Inc practices in Ardmore, OK. The NPI Number for Jim Wallace & Associates, Inc is 1043980188 and holds a License No. (Oklahoma).

The current practice location address for Jim Wallace & Associates, Inc is 301 W Main St Ste 430, Ardmore, OK and can be reached out via phone at 580-224-2830 and via fax at 405-665-6396. You can also correspond with Jim Wallace & Associates, Inc through the mailing address at 202 S WASHITA AVE, WYNNEWOOD, OK - 73098-7820 (mailing address contact number: 405-665-4385).

Location: 301 W Main St Ste 430, Ardmore, OK, 73098-7820
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1043980188
Provider Name
Jim Wallace & Associates, Inc
Credential
Provider Entity Type
Organization
Address
301 W Main St Ste 430, Ardmore, OK, 73098-7820
Phone Number
580-224-2830
Fax Number
405-665-6396
Provider Enumeration Date
09/20/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
301 W Main St Ste 430
City
Ardmore
State
Oklahoma
Zip
73401-6322
Phone Number
580-224-2830
Fax Number
405-665-6396
person
Provider Business Mailing Address Details
Address
202 S Washita Ave
City
Wynnewood
State
Oklahoma
Zip
73098-7820
Phone Number
405-665-4385
Fax Number
405-663-6396
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.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
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