Individual provider · Type 1 NPI

Miriam Wall

Mental Health Counselor · Sallisaw, OK

NPI number 1619383783 Active

Practice location

205 S J T Stites
Sallisaw, OK 74955-9301

Call (918) 775-7787 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1619383783

Miriam Wall's National Provider Identifier is 1619383783, issued on Jul 9, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Sallisaw, OK. The record was last updated on Jul 9, 2014.