person
Leslie Dawn Wallace
Mental Health Counselor in Oklahoma City, Oklahoma
NPI 1871855981

Leslie Dawn Wallace is a Mental Health Counselor based in Oklahoma City, OK and is specialized in Mental Health. Leslie Dawn Wallace practices in Oklahoma City, OK. The NPI Number for Leslie Dawn Wallace is 1871855981 and holds a License No. (Oklahoma).

The current practice location address for Leslie Dawn Wallace is 908 Ne 84Th St, Oklahoma City, OK and can be reached out via phone at 405-608-0086 and via fax at 405-419-9203.

Location: 908 Ne 84Th St, Oklahoma City, OK, 73114-3912
person
Provider Profile Details
NPI Number
1871855981
Provider Name
Leslie Dawn Wallace
Credential
Provider Entity Type
Individual
Gender
Female
Address
908 Ne 84Th St, Oklahoma City, OK, 73114-3912
Phone Number
405-608-0086
Fax Number
405-419-9203
Provider Enumeration Date
06/13/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
908 Ne 84Th St
City
State
Zip
73114-3912
Phone Number
405-608-0086
Fax Number
405-419-9203
person
Provider Business Mailing Address Details
Address
908 Ne 84Th St
City
State
Zip
73114-3912
Phone Number
405-608-0086
Fax Number
405-419-9203
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
(Oklahoma)
Definition
Definition to come...
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