person
Nicole Broadway Wallace, LPC
Professional Counselor in Killeen, Texas
NPI 1821311606

Nicole Broadway Wallace is a Professional Counselor based in Killeen, TX and is specialized in Professional. Nicole Broadway Wallace practices in Killeen, TX and has the professional credentials of LPC. The NPI Number for Nicole Broadway Wallace is 1821311606 and holds a License No. 19501 (Texas).

The current practice location address for Nicole Broadway Wallace is 207 Belo Dr, Killeen, TX and can be reached out via phone at 254-630-7450 and via fax at 254-853-4241.

Location: 207 Belo Dr, Killeen, TX, 76543
person
Provider Profile Details
NPI Number
1821311606
Provider Name
Nicole Broadway Wallace
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
207 Belo Dr, Killeen, TX, 76543
Phone Number
254-630-7450
Fax Number
254-853-4241
Provider Enumeration Date
03/08/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
207 Belo Dr
City
State
Zip
76542-5598
Phone Number
254-630-7450
Fax Number
254-853-4241
person
Provider Business Mailing Address Details
Address
207 Belo Dr
City
State
Zip
76542-5598
Phone Number
254-630-7450
Fax Number
254-853-4241
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
19501 (Texas)
Definition
Definition to come...
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