person
Angela D Wallace
Mental Health Counselor in Shawnee, Oklahoma
NPI 1114204450

Angela D Wallace is a Mental Health Counselor based in Shawnee, OK and is specialized in Mental Health. Angela D Wallace practices in Shawnee, OK. The NPI Number for Angela D Wallace is 1114204450 and holds a License No. (Oklahoma).

The current practice location address for Angela D Wallace is 101 N Union Ave, Shawnee, OK and can be reached out via phone at 405-878-1135 and via fax at 405-878-1138.

Location: 101 N Union Ave, Shawnee, OK, 74801-7067
person
Provider Profile Details
NPI Number
1114204450
Provider Name
Angela D Wallace
Credential
Provider Entity Type
Individual
Gender
Female
Address
101 N Union Ave, Shawnee, OK, 74801-7067
Phone Number
405-878-1135
Fax Number
405-878-1138
Provider Enumeration Date
11/15/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
101 N Union Ave
City
State
Zip
74801-7067
Phone Number
405-878-1135
Fax Number
405-878-1138
person
Provider Business Mailing Address Details
Address
101 N Union Ave
City
State
Zip
74801-7067
Phone Number
405-878-1135
Fax Number
405-878-1138
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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