Individual provider · Type 1 NPI

Keshawn Wallace, LPC-ASSOCIATE

Professional Counselor · Oklahoma City, OK

NPI number 1407602337 Active

Practice location

2763 W I 240 Service Rd Apt 63G
Oklahoma City, OK 73159-3784

Call (918) 986-5918 Map

Other practice locations

  • 4006 Belt Line Rd Ste 160, Addison, TX 75001-5802 · (214) 307-2183

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X101414 (TX)

Professional Counselor: Definition to come...

Other professional counselor providers in Oklahoma City

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About NPI 1407602337

Keshawn Wallace, LPC-ASSOCIATE's National Provider Identifier is 1407602337, issued on Apr 30, 2024. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Oklahoma City, OK. The record was last updated on Mar 2, 2026.