Ashley Wallace is a Peer Specialist based in Ardmore, OK. Ashley Wallace practices in Ardmore, OK. The NPI Number for Ashley Wallace is 1942719612 and holds a License No. (Oklahoma).
The current practice location address for Ashley Wallace is 1219 K St Nw, Ardmore, OK and can be reached out via phone at 580-798-4523.
Location: 1219 K St Nw, Ardmore, OK, 73401-1801
Provider Profile Details
NPI Number
1942719612
Provider Name
Ashley Wallace
Credential
Provider Entity Type
Individual
Gender
Female
Address
1219 K St Nw, Ardmore, OK, 73401-1801
Phone Number
580-798-4523
Fax Number
Provider Enumeration Date
09/26/2017
Last Update Date
03/09/2024
Provider Business Practice Location Address Details
Address
1219 K St Nw
City
State
Zip
73401-1801
Phone Number
580-798-4523
Fax Number
Provider Business Mailing Address Details
Address
1219 K St Nw
City
State
Zip
73401-1801
Phone Number
580-798-4523
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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