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

Individual provider Counselor · NPI 1669799086

Jennifer Renea Wallace, BA is a Counselor in Durant, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma.

Licensed in
OK
In the registry since
2010
What do these letters mean?
BA — Bachelor of Arts
An undergraduate arts degree.

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Practice location Address checks out

3802 W University Blvd Apt 8104
Durant, OK 74701-3047
Phone: (580) 465-5961
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X (OK)

Record details

NPI number1669799086
Entity typeIndividual (Type 1)
GenderFemale
Credentials BA
Sole proprietorYes
NPI enumeratedApril 24, 2010
Last updated in NPPESApril 24, 2010

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