person
Amy Wallis, LPC
Mental Health Counselor in Moore, Oklahoma
NPI 1780930370

Amy Wallis is a Mental Health Counselor based in Moore, OK and is specialized in Mental Health. Amy Wallis practices in Moore, OK and has the professional credentials of LPC. The NPI Number for Amy Wallis is 1780930370 and holds a License No. 6156 (Oklahoma).

The current practice location address for Amy Wallis is 620 Nw 5Th St Ste D, Moore, OK and can be reached out via phone at 405-208-4469.

Location: 620 Nw 5Th St Ste D, Moore, OK, 73160-3947
person
Provider Profile Details
NPI Number
1780930370
Provider Name
Amy Wallis
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
620 Nw 5Th St Ste D, Moore, OK, 73160-3947
Phone Number
405-208-4469
Fax Number
Provider Enumeration Date
08/01/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
620 Nw 5Th St Ste D
City
State
Zip
73160-3947
Phone Number
405-208-4469
Fax Number
person
Provider Business Mailing Address Details
Address
620 Nw 5Th St Ste D
City
State
Zip
73160-3947
Phone Number
405-208-4469
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
6156 (Oklahoma)
Definition
Definition to come...
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