location
search-icon
person
Shadava Deann Wallace
Counselor in Hugo, Oklahoma
NPI 1215656517

Shadava Deann Wallace is a Counselor based in Hugo, OK. Shadava Deann Wallace practices in Hugo, OK. The NPI Number for Shadava Deann Wallace is 1215656517 and holds a License No. (Oklahoma).

The current practice location address for Shadava Deann Wallace is 136 Meadowview St, Hugo, OK and can be reached out via phone at 580-424-4239.

Location: 136 Meadowview St, Hugo, OK, 74743-5402
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215656517
Provider Name
Shadava Deann Wallace
Credential
Provider Entity Type
Individual
Gender
Female
Address
136 Meadowview St, Hugo, OK, 74743-5402
Phone Number
580-424-4239
Fax Number
Provider Enumeration Date
08/22/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
136 Meadowview St
City
Hugo
State
Oklahoma
Zip
74743-5402
Phone Number
580-424-4239
Fax Number
person
Provider Business Mailing Address Details
Address
136 Meadowview St
City
Hugo
State
Oklahoma
Zip
74743-5402
Phone Number
580-424-4239
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
(Oklahoma)
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.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.