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

Angela D Wallace

Individual provider Mental Health Counselor · NPI 1114204450

Angela D Wallace is a Mental Health Counselor in Shawnee, Oklahoma. Registered with an NPI since 2011.

In the registry since
2011

Practice location Address checks out

101 N Union Ave
Shawnee, OK 74801-7067
Phone: (405) 878-1135
Fax: (405) 878-1138
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1114204450
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 15, 2011
Last updated in NPPESNovember 15, 2011

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