Individual
ALANA WALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
1300 E BRADFORD PKWY, SPRINGFIELD, MO 65804-4294
(417) 761-5000
(417) 761-5011
Mailing address
2885 W BATTLEFIELD ST, SPRINGFIELD, MO 65807-3952
(417) 761-5000
(417) 761-5011
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2021015330
MO
101YP2500X
Professional Counselor
P1912143
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14602904
CAQH
—
05
—
240064719
—
AR
05
—
490095816
—
MO
Enumeration date
03/02/2012
Last updated
04/19/2023
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