person
Diana Lee Wall, MA,LPC
Mental Health Counselor in Broken Arrow, Oklahoma
NPI 1154847663

Diana Lee Wall is a Mental Health Counselor based in Broken Arrow, OK and is specialized in Mental Health. Diana Lee Wall practices in Broken Arrow, OK and has the professional credentials of MA,LPC. The NPI Number for Diana Lee Wall is 1154847663 and holds a License No. 6542 (Oklahoma).

The current practice location address for Diana Lee Wall is 1217 E College St, Broken Arrow, OK and can be reached out via phone at 918-259-1462 and via fax at 918-259-1444.

Location: 1217 E College St, Broken Arrow, OK, 74012-4204
person
Provider Profile Details
NPI Number
1154847663
Provider Name
Diana Lee Wall
Credential
MA,LPC
Provider Entity Type
Individual
Gender
Female
Address
1217 E College St, Broken Arrow, OK, 74012-4204
Phone Number
918-259-1462
Fax Number
918-259-1444
Provider Enumeration Date
08/16/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1217 E College St
City
State
Zip
74012-4204
Phone Number
918-259-1462
Fax Number
918-259-1444
person
Provider Business Mailing Address Details
Address
1217 E College St
City
State
Zip
74012-4204
Phone Number
918-259-1462
Fax Number
918-259-1444
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
6542 (Oklahoma)
Definition
Definition to come...
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