Teresa Gale Rue-Wallace, BA,MS
Individual provider Active NPI Mental Health Counselor · Wynnewood, OK
NPI 1861723264 · NPPES record last updated Jan 25, 2010
Key facts
- NPI
- 1861723264
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 34668 E County Road 1650
Wynnewood, OK 73098-9173 - Phone
- (405) 306-8511
- Fax
- (405) 665-6396
- NPI assigned
- Jan 25, 2010
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Bachelor of Arts, Master of Science
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
34668 E County Road 1650
Wynnewood, OK 73098-9173
Mailing address
34668 E County Road 1650
Wynnewood, OK 73098-9173
Phone (405) 306-8511
Other providers in Wynnewood, OK
- Wren Lea Rains
- Heather Rose Reed
- James K Robberson
- Dallas Rudd
- Dalton Bryant Rudd
- Michelle Rue
- Rance Lane Rue
- Tammy Sue Shirley
- Southern Oklahoma Eye Center, LLC
- Sphinx Diagnostics, LLC
All providers in Wynnewood, OK · Mental Health Counselor in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 25, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.