Individual provider · Type 1 NPI

Deborah Wallis, LAC

Mental Health Counselor · Nashville, AR

NPI number 1790908374 Active

Practice location

1575 Highway 371 W
Nashville, AR 71852-7598

Fax (870) 451-9752

Mailing address

127 Woodruff Ln
Nashville, AR 71852-7542

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XA0302010 (AR)

Mental Health Counselor: Definition to come...

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About NPI 1790908374

Deborah Wallis, LAC's National Provider Identifier is 1790908374, issued on Apr 11, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Nashville, AR. The record was last updated on Jul 8, 2007.