Search › Oklahoma › 101YP2500X
Keshawn Wallace, LPC-ASSOCIATE
NPI 1407602337 · on the registry since 2024
Practice
- Address
- 2763 W I 240 Service Rd Apt 63g
Oklahoma City, OK 73159 - Phone
- (918) 986-5918
Additional practice sites
- 4006 Belt Line Rd Ste 160, Addison, TX
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-03-02
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