Wallace, Harold Wayne

Wallace, Harold Wayne is an sole proprietor health care provider with primary practice located at 21 Wallbrook Trl , Odessa TX 79762-5213. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Wallace, Harold Wayne can be contacted via phone (432) 550-4563.

Contact Information

Primary practice address
21 Wallbrook Trl Odessa TX 79762-5213
Phone: (432) 550-4563
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 10091 Texas

Profile Details

NPI number 1699045302
LBN Legal business name Wallace, Harold Wayne
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 11th, 2012
Last updated Jan 11th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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