| Mr Terry Eugene Wallace, CADC | |
|
104 Ne Avenue A, Idabel, OK 74745 | |
| (580) 286-3301 | |
| Not Available |
| Full Name | Mr Terry Eugene Wallace |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 104 Ne Avenue A, Idabel, Oklahoma |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831304922 | NPI | - | NPPES |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Terry Eugene Wallace, CADC Hc 73 Box 348, Haworth, OK 74740-9515 Ph: (580) 245-2990 | Mr Terry Eugene Wallace, CADC 104 Ne Avenue A, Idabel, OK 74745 Ph: (580) 286-3301 |
Tina Simer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 17 S Central Ave, Idabel, OK 74745 Phone: 580-286-5184 Fax: 580-286-5185 | |
Catherine White, M.ED, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 503 S Central Ave, Idabel, OK 74745 Phone: 580-212-9193 Fax: 580-286-3478 | |
Kristy Woolsey, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1310 Se Washington St, Idabel, OK 74745 Phone: 580-286-6671 | |
Barbara Sharon Lumsden, LPC, LADC, MBS Counselor Medicare: Not Enrolled in Medicare Practice Location: 411 S Central Ave, Idabel, OK 74745 Phone: 580-286-5045 | |
George Donald Haslam Sr., Counselor Medicare: Not Enrolled in Medicare Practice Location: 411 S Central Ave, Idabel, OK 74745 Phone: 580-286-5045 | |
Corey Griffin, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 116 Se Ave N, Idabel, OK 74745 Phone: 580-286-6671 Fax: 580-286-5747 | |
Brandy T Hickerson, MED, PSYCHOLOGIST Counselor Medicare: Not Enrolled in Medicare Practice Location: 17 S Central Ave, Idabel, OK 74745 Phone: 580-286-5184 Fax: 580-286-5185 |