Individual provider · Type 1 NPI
Teresa Gale Rue-Wallace, BA, MS
Mental Health Counselor · Wynnewood, OK
NPI number
1861723264
Active
Practice location
34668 E County Road 1650
Wynnewood, OK 73098-9173
Fax (405) 665-6396
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1861723264
Teresa Gale Rue-Wallace, BA, MS's National Provider Identifier is 1861723264, issued on Jan 25, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Wynnewood, OK. The record was last updated on Jan 25, 2010.