person
Kerrie Wallace
Professional Counselor in Willis, Texas
NPI 1083161558

Kerrie Wallace is a Professional Counselor based in Willis, TX and is specialized in Professional. Kerrie Wallace practices in Willis, TX. The NPI Number for Kerrie Wallace is 1083161558 and holds a License No. 7693 (Texas).

The current practice location address for Kerrie Wallace is 12839 Virgo Dr, Willis, TX and can be reached out via phone at 281-799-5260.

Location: 12839 Virgo Dr, Willis, TX, 77318-5251
person
Provider Profile Details
NPI Number
1083161558
Provider Name
Kerrie Wallace
Credential
Provider Entity Type
Individual
Gender
Female
Address
12839 Virgo Dr, Willis, TX, 77318-5251
Phone Number
281-799-5260
Fax Number
Provider Enumeration Date
09/01/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
12839 Virgo Dr
City
State
Zip
77318-5251
Phone Number
281-799-5260
Fax Number
person
Provider Business Mailing Address Details
Address
12839 Virgo Dr
City
State
Zip
77318-5251
Phone Number
281-799-5260
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
14980 (Texas)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
7693 (Texas)
Definition
Definition to come...
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