Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CASEY WALLIS, LCPC
Active Sole ProprietorCASEY WALLIS, LCPC is a Professional Counselor healthcare provider located in CLAYCOMO, Missouri. NPI 1669002747 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · CLAYCOMO, MO
Registration Details
- NPI Number
- 1669002747
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 17, 2020 (6.3895700868093 yrs)
- Last Updated
- Mar 27, 2025
- License
-
03938 (KS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
32 S MIRIAM ST APT 6CLAYCOMO, MO, 641193141Browse MO providers · Browse ZIP 64119
- Phone
- 8167019519
- Primary Specialty
-
Professional Counselor
101YP2500X
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.