Shadava Deann Wallace
Counselor • Hugo, OK
Professional Overview & Biography Verified Profile Summary
Shadava Wallace is a registered healthcare professional specializing in Counselor in Hugo, OK. Practice services are available at 136 MEADOWVIEW ST under active NPI credentials.
Practice Location & Contact Primary Location
136 Meadowview St
Hugo, OK 747435402
Specialty Benchmarks & Practice Insights
Comparative analytics for Counselor in Hugo, OK
Practicing in Hugo, OK (4611 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
CMS Verified: 2022-08-11NUCC Taxonomy Code: 101Y00000X
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.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
NPI status registered as active in NPPES database
Registered at 136 MEADOWVIEW ST, HUGO, OK 747435402 (Tel: 5804244239)
Registered at 136 MEADOWVIEW ST, HUGO, OK 747435402 (Tel: 5804244239)
Recorded as SHADAVA WALLACE
Counselor
First registered as active Individual Practitioner in NPPES Database.
Patient & Community Reviews
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NPI Administrative Meta
Mailing Address
136 Meadowview St
Hugo, OK 747435402
Phone: 5804244239
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