Kathleen Michelle Wallace, LPC, NCC is a mental health counselor in Russellville, AR. Kathleen Michelle Wallace, LPC, NCC NPI is 1508185307. 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:
110 SKYLINE DR
RUSSELLVILLE, AR
ZIP 72801-362
Phone: (479) 968-1298
Fax: (479) 890-5364
The enumeration date for this NPI number is 5/19/2010 and was last updated on 2/15/2016.