KIMBERLEY WALLACE, LCDC

Counselor - Addiction (Substance Use Disorder)

Active Individual
NPI: 1205677150

Practice Address

107 WOODBINE PL
Longview, TX 75601

Phone: (903) 758-2471

Specialties

Specialty Code Primary License
Counselor - Addiction (Substance Use Disorder) 101YA0400X Yes 17017 (TX)

Frequently Asked Questions

NPI 1205677150 is the National Provider Identifier for KIMBERLEY WALLACE, LCDC, a Counselor - Addiction (Substance Use Disorder) provider located in Longview, TX. This NPI was enumerated on June 4, 2024.
KIMBERLEY WALLACE, LCDC practices at 107 WOODBINE PL, Longview, TX 75601.

Quick Facts

NPI
1205677150
Type
Individual
Enumerated
Jun 4, 2024
Last Updated
Jun 5, 2024

Nearby Providers