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Jennifer Renea Wallace, BA
Counselor in Durant, Oklahoma
NPI 1669799086

Jennifer Renea Wallace is a Counselor based in Durant, OK. Jennifer Renea Wallace practices in Durant, OK and has the professional credentials of BA. The NPI Number for Jennifer Renea Wallace is 1669799086 and holds a License No. (Oklahoma).

The current practice location address for Jennifer Renea Wallace is 3802 W University Blvd Apt 8104, Durant, OK and can be reached out via phone at 580-465-5961.

Location: 3802 W University Blvd Apt 8104, Durant, OK, 74701-3047
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669799086
Provider Name
Jennifer Renea Wallace
Credential
BA
Provider Entity Type
Individual
Gender
Female
Address
3802 W University Blvd Apt 8104, Durant, OK, 74701-3047
Phone Number
580-465-5961
Fax Number
Provider Enumeration Date
04/24/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3802 W University Blvd Apt 8104
City
Durant
State
Oklahoma
Zip
74701-3047
Phone Number
580-465-5961
Fax Number
person
Provider Business Mailing Address Details
Address
3802 W University Blvd Apt 8104
City
Durant
State
Oklahoma
Zip
74701-3047
Phone Number
580-465-5961
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.
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