Deborah Wallis, LAC

NPI #1790908374 in Nashville, Arkansas

Provider Information

NPI Number: 1790908374
Entity Type: Individual
Name: Deborah Wallis, LAC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Credential: LAC
Enumeration Date: Apr 11, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1575 HIGHWAY 371 W
City: Nashville
State: Arkansas
ZIP Code: 71852-7598
Phone: (870) 451-9742

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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