person
Mr. Sam Loc Wallace, LPC
Professional Counselor in Fayetteville, Arkansas
NPI 1811169451

Sam Loc Wallace is a Professional Counselor based in Fayetteville, AR and is specialized in Professional. Sam Loc Wallace practices in Fayetteville, AR and has the professional credentials of LPC. The NPI Number for Sam Loc Wallace is 1811169451 and holds a License No. P0702007 (Arkansas).

The current practice location address for Sam Loc Wallace is 1845 N Green Acres Rd, Fayetteville, AR and can be reached out via phone at 479-957-8546.

Location: 1845 N Green Acres Rd, Fayetteville, AR, 72703-2615
person
Provider Profile Details
NPI Number
1811169451
Provider Name
Sam Loc Wallace
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
1845 N Green Acres Rd, Fayetteville, AR, 72703-2615
Phone Number
479-957-8546
Fax Number
Provider Enumeration Date
03/24/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1845 N Green Acres Rd
City
State
Zip
72703-2615
Phone Number
479-957-8546
Fax Number
person
Provider Business Mailing Address Details
Address
1845 N Green Acres Rd
City
State
Zip
72703-2615
Phone Number
479-957-8546
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
P0702007 (Arkansas)
Definition
Definition to come...
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