Individual provider · Type 1 NPI

Stacy Lea Wallace, NCC

Counselor · Pawnee, OK

NPI number 1003249848 Active

Practice location

540 Illinois St
Pawnee, OK 74058-2036

Call (918) 762-1045 Map

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1003249848

Stacy Lea Wallace, NCC's National Provider Identifier is 1003249848, issued on Aug 15, 2013. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Pawnee, OK. The record was last updated on Aug 15, 2013.