person
Kathleen Michelle Wallace, LPC,NCC
Mental Health Counselor in Russellville, Arkansas
NPI 1508185307

Kathleen Michelle Wallace is a Mental Health Counselor based in Russellville, AR and is specialized in Mental Health. Kathleen Michelle Wallace practices in Russellville, AR and has the professional credentials of LPC,NCC. The NPI Number for Kathleen Michelle Wallace is 1508185307 and holds a License No. P1507083 (Arkansas).

The current practice location address for Kathleen Michelle Wallace is 110 Skyline Dr, Russellville, AR and can be reached out via phone at 479-968-1298 and via fax at 479-890-5364.

Location: 110 Skyline Dr, Russellville, AR, 72801-3362
person
Provider Profile Details
NPI Number
1508185307
Provider Name
Kathleen Michelle Wallace
Credential
LPC,NCC
Provider Entity Type
Individual
Gender
Female
Address
110 Skyline Dr, Russellville, AR, 72801-3362
Phone Number
479-968-1298
Fax Number
479-890-5364
Provider Enumeration Date
05/19/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
110 Skyline Dr
City
State
Zip
72801-3362
Phone Number
479-968-1298
Fax Number
479-890-5364
person
Provider Business Mailing Address Details
Address
110 Skyline Dr
City
State
Zip
72801-3362
Phone Number
479-968-1298
Fax Number
479-890-5364
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
P1507083 (Arkansas)
Definition
Definition to come...
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