Individual provider · Type 1 NPI

Nzuri Wallace, LADC/MH CANDIDATE

Mental Health Counselor · Oklahoma City, OK

NPI number 1487970166 Active

Practice location

4130 N Lincoln Blvd
Oklahoma City, OK 73105-5209

Call (405) 267-3246 Map

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1487970166

Nzuri Wallace, LADC/MH CANDIDATE's National Provider Identifier is 1487970166, issued on Apr 20, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Oklahoma City, OK. The record was last updated on Jul 17, 2026.