O'Keith Wallace, BS, MS, CAMS11
O'Keith Wallace, BS, MS, CAMS11 is a Counselor in Lilburn, Georgia. Practices as a sole proprietor. Registered with an NPI since 2020.
- In the registry since
- 2020
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Practice location Address checks out
4830 Lawrenceville Hwy NW Ste 2BLilburn, GA 30047-3812
Phone: (770) 676-9216
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Specialties & licences
| Counselor (primary) | Taxonomy 101Y00000X |
|---|
Record details
| NPI number | 1316560659 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | BS , MS , CAMS11 |
| Sole proprietor | Yes |
| NPI enumerated | May 21, 2020 |
| Last updated in NPPES | May 21, 2020 |
| Certification date | May 21, 2020 |
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