Individual provider · Type 1 NPI
Patricia Irene Wallace, LPC, LADC
Mental Health Counselor · Hugo, OK
NPI number
1043336704
Active
Practice location
104 N 4th St
Hugo, OK 74743-4003
Fax (580) 326-2377
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 3190 (OK) |
Mental Health Counselor: Definition to come...
3 other providers at this address
Other mental health counselor providers in Hugo
- Roberta Lee ArmstrongMental Health Counselor Hugo, OK NPI 1003167818
- Don G. Loman, M.S.Mental Health Counselor Hugo, OK NPI 1043350580
- Jessica Mathews, LPCMental Health Counselor Hugo, OK NPI 1083819338
- Susan Millette SheltonMental Health Counselor Hugo, OK NPI 1093094898
- Kiyoko Nicole LesterMental Health Counselor Hugo, OK NPI 1104163591
- Melissa Ginn, BSWMental Health Counselor Hugo, OK NPI 1124354659
- Carla Sue Bourne, M.S., L.B.P.Mental Health Counselor Hugo, OK NPI 1144374612
- Bonnie SimsMental Health Counselor Hugo, OK NPI 1144643768
About NPI 1043336704
Patricia Irene Wallace, LPC, LADC's National Provider Identifier is 1043336704, issued on Mar 22, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Hugo, OK. The record was last updated on Jul 8, 2007.