Individual provider · Type 1 NPI

Kelly Love Wallace, M. ED.

Professional Counselor · Edmond, OK

NPI number 1124675749 Active

About NPI 1124675749

Kelly Love Wallace, M. ED.'s National Provider Identifier is 1124675749, issued on Aug 19, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Edmond, OK. The record was last updated on Aug 27, 2021.