1. Home
  2. Directory
  3. Oklahoma
  4. Durant
  5. Counselor
  6. NPI Profile

JENNIFER RENEA WALLACE B.A
NPI 1669799086
Counselor in Durant, OK

Active since April 24, 2010
3802 W UNIVERSITY BLVD APT 8104, DURANT, OK 74701(580) 465-5961 Get Directions Write a Review

NPPES record last updated: April 24, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jennifer Renea Wallace B.a NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER RENEA WALLACE B.A (NPI 1669799086) is an individual counselor in Durant, Oklahoma and active in the NPI registry since April 2010.

NPPES Registry Identity

NPI1669799086
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameJENNIFER RENEA WALLACECredential: B.A
Location Address3802 W UNIVERSITY BLVD APT 8104Durant, OK 74701-3047
Mailing Address3802 W University Blvd Apt 8104Durant, OK 74701-3047 · (580) 465-5961
Phone(580) 465-5961
Sole ProprietorYes
Enumeration DateApril 24, 2010
✔ NPI 1669799086 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
3802 W UNIVERSITY BLVD APT 8104, Durant, OK 74701
Open in Google Maps ↗

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Wallace's NPI number?

The NPI number for Jennifer Wallace is 1669799086. It was assigned to this individual provider in the NPPES registry on April 24, 2010.

Where is Jennifer Wallace located?

Jennifer Wallace practices at 3802 W University Blvd Apt 8104, Durant, OK 74701. The listed phone number is (580) 465-5961.

What is Jennifer Wallace's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Jennifer Wallace was last updated on April 24, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.