Diana Lee Wall, M.A., LPC
NPI #1154847663 in Broken Arrow, Oklahoma
Provider Information
- NPI Number
- 1154847663
- Entity Type
- Individual
- Name
- Diana Lee Wall, M.A., LPC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Credential
- M.A., LPC
- Enumeration Date
- Aug 16, 2017
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 1217 E COLLEGE ST
- City
- Broken Arrow
- State
- Oklahoma
- ZIP Code
- 74012-4204
- Phone
- (918) 259-1462
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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