Individual provider · Type 1 NPI

Whitney Antia Wallace

Mental Health Counselor · Norman, OK

NPI number 1174857619 Active

Practice location

900 E Main St, Building 52 Unit 200
Norman, OK 73071-5305

Call (405) 307-4800 Map

Fax (405) 307-4828

Mailing address

2900 Chautauqua Ave, #207
Norman, OK 73072-7723

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1174857619

Whitney Antia Wallace's National Provider Identifier is 1174857619, issued on Oct 1, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Norman, OK. The record was last updated on Oct 2, 2009.