Individual provider · Type 1 NPI

Angel Wallis, LPC

Professional Counselor · Jonesboro, AR

NPI number 1093835688 Active

Practice location

1815 Pleasant Grove Rd
Jonesboro, AR 72405-7870

Fax (870) 336-1339

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XP0402010 (AR)

Professional Counselor: Definition to come...

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About NPI 1093835688

Angel Wallis, LPC's National Provider Identifier is 1093835688, issued on Mar 29, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Jonesboro, AR. The record was last updated on Nov 27, 2023.