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O'keith Wallace, BS,MS,CAMS11
Counselor in Lilburn, Georgia
NPI 1316560659

O'keith Wallace is a Counselor based in Lilburn, GA. O'keith Wallace practices in Lilburn, GA and has the professional credentials of BS,MS,CAMS11. The NPI Number for O'keith Wallace is 1316560659 and holds a License No. (Georgia).

The current practice location address for O'keith Wallace is 4830 Lawrenceville Hwy Nw Ste 2B, Lilburn, GA and can be reached out via phone at 770-676-9216.

Location: 4830 Lawrenceville Hwy Nw Ste 2B, Lilburn, GA, 30047-3812
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316560659
Provider Name
O'keith Wallace
Credential
BS,MS,CAMS11
Provider Entity Type
Individual
Gender
Male
Address
4830 Lawrenceville Hwy Nw Ste 2B, Lilburn, GA, 30047-3812
Phone Number
770-676-9216
Fax Number
Provider Enumeration Date
05/21/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4830 Lawrenceville Hwy Nw Ste 2B
City
Lilburn
State
Georgia
Zip
30047-3812
Phone Number
770-676-9216
Fax Number
person
Provider Business Mailing Address Details
Address
4830 Lawrenceville Hwy Nw Ste 2B
City
Lilburn
State
Georgia
Zip
30047-3812
Phone Number
770-676-9216
Fax Number
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.
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