Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jim Wallace & Associates Inc

Organization Community/Behavioral Health Agency · NPI 1164557492

Jim Wallace & Associates Inc is a Community/Behavioral Health Agency in Hugo, Oklahoma. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1610 W Jackson St
Hugo, OK 74743-5653
Phone: (405) 665-4385
Fax: (405) 665-6396
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X

Record details

NPI number1164557492
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Teresa Rue-Wallace — Ceo · (405) 665-4385
Other names The Jetty Counseling Center
NPI enumeratedFebruary 23, 2007
Last updated in NPPESMay 31, 2025
Certification dateMay 31, 2025
Mailing address202 S Washita Ave, Wynnewood, OK 73098-7820

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