KERRIE WALLACE

Counselor - Professional

Active Individual
NPI: 1083161558

Practice Address

12839 VIRGO DR
Willis, TX 77318

Phone: (281) 799-5260

Specialties

Specialty Code Primary License
Counselor - Addiction (Substance Use Disorder) 101YA0400X No 7693 (TX)
Counselor - Professional 101YP2500X Yes 14980 (TX)

Frequently Asked Questions

NPI 1083161558 is the National Provider Identifier for KERRIE WALLACE, a Counselor - Professional provider located in Willis, TX. This NPI was enumerated on September 1, 2016.
KERRIE WALLACE practices at 12839 VIRGO DR, Willis, TX 77318.

Quick Facts

NPI
1083161558
Type
Individual
Enumerated
Sep 1, 2016
Last Updated
Sep 1, 2016

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