person
Harold Wayne Wallace, LPC
Mental Health Counselor in Odessa, Texas
NPI 1699045302

Harold Wayne Wallace is a Mental Health Counselor based in Odessa, TX and is specialized in Mental Health. Harold Wayne Wallace practices in Odessa, TX and has the professional credentials of LPC. The NPI Number for Harold Wayne Wallace is 1699045302 and holds a License No. 10091 (Texas).

The current practice location address for Harold Wayne Wallace is 21 Wallbrook Trl, Odessa, TX and can be reached out via phone at 432-550-4563.

Location: 21 Wallbrook Trl, Odessa, TX, 79762-5213
person
Provider Profile Details
NPI Number
1699045302
Provider Name
Harold Wayne Wallace
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
21 Wallbrook Trl, Odessa, TX, 79762-5213
Phone Number
432-550-4563
Fax Number
Provider Enumeration Date
01/11/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
21 Wallbrook Trl
City
State
Zip
79762-5213
Phone Number
432-550-4563
Fax Number
person
Provider Business Mailing Address Details
Address
21 Wallbrook Trl
City
State
Zip
79762-5213
Phone Number
432-550-4563
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
10091 (Texas)
Definition
Definition to come...
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