Jim Wallace and Associates Incorporated
Jim Wallace and Associates Incorporated is a Community/Behavioral Health Agency in Wynnewood, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2007.
- Licensed in
- OK
- In the registry since
- 2007
Practice location Address checks out
202 S Washita AveWynnewood, OK 73098-7820
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
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X (OK) |
|---|
Record details
| NPI number | 1982748067 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Teresa Rue-Wallace — Owner/ Ceo/President/Exec. Director · (405) 306-8511 |
| Other names | The Jetty Counseling Center; The Jetty Counseling Center |
| NPI enumerated | February 20, 2007 |
| Last updated in NPPES | September 8, 2021 |
| Certification date | September 8, 2021 |
| Mailing address | 202 S Washita Ave, Wynnewood, OK 73098-7820 |