Individual provider · Type 1 NPI
Casey Wallis, LCPC
Professional Counselor · Claycomo, MO
NPI number
1669002747
Active
Practice location
32 S Miriam St Apt 6
Claycomo, MO 64119-3141
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 03938 (KS) |
Professional Counselor: Definition to come...
About NPI 1669002747
Casey Wallis, LCPC's National Provider Identifier is 1669002747, issued on Jan 17, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Claycomo, MO. The record was last updated on Mar 27, 2025.