Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KATHLEEN MICHELLE WALLACE, LPC, NCC
ActiveKATHLEEN MICHELLE WALLACE, LPC, NCC is a Mental Health Counselor healthcare provider located in RUSSELLVILLE, Arkansas. NPI 1508185307 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · RUSSELLVILLE, AR
Registration Details
- NPI Number
- 1508185307
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 19, 2010 (16.197173023275 yrs)
- Last Updated
- Feb 15, 2016
- License
-
P1507083 (AR)
Practice Information
- Address
-
110 SKYLINE DRRUSSELLVILLE, AR, 728013362Browse AR providers · Browse ZIP 72801
- Phone
- 4799681298
- Fax
- 4798905364
- Primary Specialty
-
Mental Health Counselor
101YM0800X
Other Mental Health Counselor Providers in RUSSELLVILLE, AR
| Name | Credential | NPI |
|---|---|---|
| GRETCHEN SUZANNE DOUTHIT | LPC, LPE, ACADC | 1730168873 |
| BILLY C HEFLEY | MRC | 1306938428 |
| CATHY GEORGE | MS | 1144312596 |
| JOSHUA R LEE | MS/LPE | 1679666135 |
| LORI R LEBAHN | MS LPC | 1063501146 |
| MELINDA G TAYLOR | MS LPC LMFT | 1528142817 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.