person
Jerryd Wallace, LPC
Professional Counselor in Van Alstyne, Texas
NPI 1821573387

Jerryd Wallace is a Professional Counselor based in Van Alstyne, TX and is specialized in Professional. Jerryd Wallace practices in Van Alstyne, TX and has the professional credentials of LPC. The NPI Number for Jerryd Wallace is 1821573387 and holds a License No. 77418 (Texas).

The current practice location address for Jerryd Wallace is 162 N. Dallas Ave, Van Alstyne, TX and can be reached out via phone at 469-667-3515.

Location: 162 N. Dallas Ave, Van Alstyne, TX, 75495-2020
person
Provider Profile Details
NPI Number
1821573387
Provider Name
Jerryd Wallace
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
162 N. Dallas Ave, Van Alstyne, TX, 75495-2020
Phone Number
469-667-3515
Fax Number
Provider Enumeration Date
10/01/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
162 N. Dallas Ave
City
State
Zip
75495-7549
Phone Number
469-667-3515
Fax Number
person
Provider Business Mailing Address Details
Address
162 N. Dallas Ave
City
State
Zip
75495-7549
Phone Number
469-667-3515
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
77418 (Texas)
Definition
Definition to come...
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