Kerrie Wallace

NPI #1083161558 in Willis, Texas

Provider Information

NPI Number
1083161558
Entity Type
Individual
Name
Kerrie Wallace
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Professional
Enumeration Date
Sep 1, 2016
Last Updated
Sep 1, 2016

Practice Location

Address
12839 VIRGO DR
City
Willis
State
Texas
ZIP Code
77318-5251
Phone
(281) 799-5260

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)
Counselor - ProfessionalProfessional

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