| Stacy Lea Wallace, NCC | |
|
540 Illinois St, Pawnee, OK 74058-2036 | |
| (918) 762-1045 | |
| Not Available |
| Full Name | Stacy Lea Wallace |
|---|---|
| Gender | Female |
| Speciality | Counselor |
| Location | 540 Illinois St, Pawnee, Oklahoma |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003249848 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Stacy Lea Wallace, NCC 540 Illinois St, Pawnee, OK 74058-2036 Ph: (918) 762-1045 | Stacy Lea Wallace, NCC 540 Illinois St, Pawnee, OK 74058-2036 Ph: (918) 762-1045 |
Mr. Ronnie E Jestes, C.A.D.C Counselor Medicare: Not Enrolled in Medicare Practice Location: 600 Denver St, Pawnee, OK 74058 Phone: 918-762-3686 Fax: 915-762-2617 | |
Deborah Ward, Counselor Medicare: Not Enrolled in Medicare Practice Location: 540 Illinois St, Pawnee, OK 74058 Phone: 918-698-5203 | |
Belinda Stubblefield, Counselor Medicare: Not Enrolled in Medicare Practice Location: 540 Illinois St, Pawnee, OK 74058 Phone: 918-382-7300 | |
Peggy Coleman, C.A.D.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 600 Denver St, Pawnee, OK 74058 Phone: 918-762-3686 Fax: 918-762-2617 | |
Camron Shekarforoosh, Counselor Medicare: Not Enrolled in Medicare Practice Location: 540 Illinois St, Pawnee, OK 74058 Phone: 918-762-1045 Fax: 918-762-2214 | |
Christie Factor, Counselor Medicare: Not Enrolled in Medicare Practice Location: 540 Illinois, Pawnee, OK 74058 Phone: 405-589-1932 |