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

Jim Wallace & Associates, Inc

Organization Counselor · NPI 1588332613

Jim Wallace & Associates, Inc is a Counselor in Norman, Oklahoma. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
2
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

203 Hal Muldrow Dr Ste 7
Norman, OK 73069-5288
Phone: (405) 665-4385
Fax: (405) 665-6396
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Clinic/Center (Including Community Mental Health Center) (primary) Taxonomy 261QM0801X
Counselor Taxonomy 101Y00000X

Record details

NPI number1588332613
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationJim Wallace & Associates, Inc
Authorized official Teresa Rue-Wallace — Owner/Ceo/President/Exec. Director · (405) 306-8511
Other names The Jetty Counseling Center
NPI enumeratedSeptember 2, 2021
Last updated in NPPESMay 31, 2025
Certification dateMay 31, 2025
Mailing address202 S Washita Ave, Wynnewood, OK 73098-7820

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