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

Individual provider Mental Health Counselor · NPI 1508185307

Kathleen Michelle Wallace, LPC, NCC is a Mental Health Counselor in Russellville, Arkansas. Licensed in Arkansas. Registered with an NPI since 2010.

Licensed in
AR
In the registry since
2010
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.
NCC — National Certified Counselor
A counsellor certified by the NBCC.

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Practice location Address checks out

110 Skyline Dr
Russellville, AR 72801-3362
Phone: (479) 968-1298
Fax: (479) 890-5364
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence P1507083 (AR)

Record details

NPI number1508185307
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC , NCC
Sole proprietorNo
NPI enumeratedMay 19, 2010
Last updated in NPPESFebruary 15, 2016

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