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Diana Wall, M.A., LPC

NPI 1154847663 · on the registry since 2017

Practice

Address
1217 E College St
Broken Arrow, OK 74012
Phone
(918) 259-1462
Fax
(918) 259-1444
Organisation at this address
Gatesway Foundation Inc
Gatesway Foundation Inc
Gatesway Foundation Inc
Gatesway Foundation Inc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
OK
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-07-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma