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

JENNIFER RENEA WALLACE, B.A

Active Sole Proprietor

JENNIFER RENEA WALLACE, B.A is a Counselor healthcare provider located in DURANT, Oklahoma. NPI 1669799086 is currently active in the NPPES registry. Verify at CMS.

Counselor · DURANT, OK

Registration Details

NPI Number
1669799086
Provider Type
Individual
Gender
Female
NPI Issued
Apr 24, 2010 (16.326622267925 yrs)
Last Updated
Apr 24, 2010
Sole Proprietor
Yes

Practice Information

Address
3802 W UNIVERSITY BLVD APT 8104
DURANT, OK, 747013047
Browse OK providers · Browse ZIP 74701
Phone
5804655961
Primary Specialty
Counselor
101Y00000X

Other Counselor Providers in DURANT, OK

Name Credential NPI
MRS. DOROTHY JEAN PHELPS M ED 1790896751
WANDA RANKINS MBS 1053443176
ABBEY ROWLEY MBS 1396877460
VICKI LITTLETON LADC 1710199575
MRS. REGINA LYNN RODGERS LBP 1841493590
SHARON G TEAFATILLER L.P.C., L.A.D.C. 1053515320
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.