person
Mr. Billie M Wallis, LPC-S
Professional Counselor in Chickasha, Oklahoma
NPI 1568705739

Billie M Wallis is a Professional Counselor based in Tuttle, OK and is specialized in Professional. Billie M Wallis practices in Chickasha, OK and has the professional credentials of LPC-S. The NPI Number for Billie M Wallis is 1568705739 and holds a License No. 5859 (Oklahoma).

The current practice location address for Billie M Wallis is 804 W Choctaw Ave, Chickasha, OK and can be reached out via phone at 405-222-0622.

Location: 804 W Choctaw Ave, Chickasha, OK, 73089-9213
person
Provider Profile Details
NPI Number
1568705739
Provider Name
Billie M Wallis
Credential
LPC-S
Provider Entity Type
Individual
Gender
Male
Address
804 W Choctaw Ave, Chickasha, OK, 73089-9213
Phone Number
405-222-0622
Fax Number
Provider Enumeration Date
04/05/2013
Last Update Date
09/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
101YP2500X 05 OK
institution
Provider Business Practice Location Address Details
Address
804 W Choctaw Ave
City
State
Zip
73018-2310
Phone Number
405-222-0622
Fax Number
person
Provider Business Mailing Address Details
Address
804 W Choctaw Ave
City
State
Zip
73018-2310
Phone Number
405-222-0622
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
5859 (Oklahoma)
Definition
Definition to come...
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