Wayne Dallas, LPC, LADC

NPI 1821291428 · on the registry since 2007

Practice

Address: 5131 N Classen Blvd
Suite 110
Oklahoma City, OK 73118
Phone: (405) 767-1126
Organisation at this address: Peggy Grady Pllc
Restoring The Brokenhearted
Venerate Home Health Express Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 58

Registry record

Primary taxonomy: 101YP2500X
101YP2500X
Licence states on file: OK
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

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