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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DAN L WALLACE, LPC

Active

DAN L WALLACE, LPC is a Professional Counselor healthcare provider located in FAYETTEVILLE, Arkansas. NPI 1538455217 is currently active in the NPPES registry. Verify at CMS.

Professional Counselor · FAYETTEVILLE, AR

Registration Details

NPI Number
1538455217
Provider Type
Individual
Gender
Male
NPI Issued
Jun 21, 2011 (15.167665179424 yrs)
Last Updated
Jan 11, 2019
License
P0504028 (AR)

Practice Information

Address
60 W SUNBRIDGE DR
FAYETTEVILLE, AR, 727031822
Browse AR providers · Browse ZIP 72703
Phone
4796951240
Fax
4797504843
Primary Specialty
Professional Counselor
101YP2500X

Other Professional Counselor Providers in FAYETTEVILLE, AR

Name Credential NPI
SANDRA L ALLRED LPC 1770521544
MYRNA BORBON YOUNG LPC 1487693891
CHERYL PIEPER CARDEN LPC 1841229739
LEWIS E CHAMNESS LPC 1841219573
KIM ELIZABETH WINBERY MAHS, LPC, LCPC 1508976291
MRS. TRACY ALANA HARRIS-BRASHEARS LPC 1386718849
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.