Individual
MRS. ANGELA NICOLE WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
5959 S STAPLES ST, SUITE 210, CORPUS CHRISTI, TX 78413-3845
(361) 991-3001
(361) 991-3002
Mailing address
5959 S STAPLES ST, SUITE 210, CORPUS CHRISTI, TX 78413-3845
(361) 991-3001
(361) 991-3002
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
72163
TX
Other
Enumeration date
02/27/2016
Last updated
11/17/2022
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