JERRYD WALLACE, LPC

Counselor - Professional

Active Individual
NPI: 1821573387

Practice Address

162 N. DALLAS AVE
Van Alstyne, TX 75495

Phone: (469) 667-3515

Specialties

Specialty Code Primary License
Counselor - Professional 101YP2500X Yes 77418 (TX)

Frequently Asked Questions

NPI 1821573387 is the National Provider Identifier for JERRYD WALLACE, LPC, a Counselor - Professional provider located in Van Alstyne, TX. This NPI was enumerated on October 1, 2018.
JERRYD WALLACE, LPC practices at 162 N. DALLAS AVE, Van Alstyne, TX 75495.

Quick Facts

NPI
1821573387
Type
Individual
Enumerated
Oct 1, 2018
Last Updated
Oct 1, 2018

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