MR. Sam Loc Wallace, L.P.C. is a professional counselor in Fayetteville, AR. MR. Sam Loc Wallace, L.P.C. NPI is 1811169451. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1845 N GREEN ACRES RD
FAYETTEVILLE, AR
ZIP 72703-615
Phone: (479) 957-8546
The enumeration date for this NPI number is 3/24/2008 and was last updated on 4/8/2015.