MRS. PATRICIA WALLACE, LPC,LADC

Counselor - Mental Health

Active Individual
NPI: 1043336704

Practice Address

104 N 4TH ST
Hugo, OK 74743

Phone: (580) 326-7531

Specialties

Specialty Code Primary License
Counselor - Mental Health 101YM0800X Yes 3190 (OK)

Frequently Asked Questions

NPI 1043336704 is the National Provider Identifier for MRS. PATRICIA WALLACE, LPC,LADC, a Counselor - Mental Health provider located in Hugo, OK. This NPI was enumerated on March 22, 2007.
MRS. PATRICIA WALLACE, LPC,LADC practices at 104 N 4TH ST, Hugo, OK 74743.

Quick Facts

NPI
1043336704
Type
Individual
Enumerated
Mar 22, 2007
Last Updated
Jul 8, 2007

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