Shadava Deann Wallace is a counselor in Hugo, OK. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Shadava Deann Wallace NPI is 1215656517. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
136 MEADOWVIEW ST
HUGO, OK
ZIP 74743-402
Phone: (580) 424-4239
The enumeration date for this NPI number is 8/22/2022 and was last updated on 8/22/2022.