KELLY WALLACE, M. ED.
Counselor - Professional
Active
Individual
NPI: 1124675749
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Professional | 101YP2500X | Yes | 77947 (TX) |
Frequently Asked Questions
NPI 1124675749 is the National Provider Identifier for KELLY WALLACE, M. ED., a Counselor - Professional provider located in Edmond, OK. This NPI was enumerated on August 19, 2019.
KELLY WALLACE, M. ED. practices at 2817 STONEBROOK RD, Edmond, OK 73003.
Quick Facts
- NPI
- 1124675749
- Type
- Individual
- Enumerated
- Aug 19, 2019
- Last Updated
- Aug 27, 2021
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