Individual provider · Type 1 NPI

Harold Wayne Wallace, LPC

Mental Health Counselor · Odessa, TX

NPI number 1699045302 Active

Practice location

21 Wallbrook Trl
Odessa, TX 79762-5213

Call (432) 550-4563 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X10091 (TX)

Mental Health Counselor: Definition to come...

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About NPI 1699045302

Harold Wayne Wallace, LPC's National Provider Identifier is 1699045302, issued on Jan 11, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Odessa, TX. The record was last updated on Jan 11, 2012.