Individual provider · Type 1 NPI

Sam Loc Wallace, L.P.C.

Professional Counselor · Fayetteville, AR

NPI number 1811169451 Active

Practice location

1845 N Green Acres Rd
Fayetteville, AR 72703-2615

Call (479) 957-8546 Map

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XP0702007 (AR)

Professional Counselor: Definition to come...

9 other providers at this address

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About NPI 1811169451

Sam Loc Wallace, L.P.C.'s National Provider Identifier is 1811169451, issued on Mar 24, 2008. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Fayetteville, AR. The record was last updated on Apr 8, 2015.