MRS. Maria Wallis, LCDC

NPI #1104276781 in Kaufman, Texas

Provider Information

NPI Number
1104276781
Entity Type
Individual
Name
MRS. Maria Wallis, LCDC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Credential
LCDC
Enumeration Date
Jun 15, 2016
Last Updated
Jun 15, 2016

Practice Location

Address
8792 COUNTY ROAD 135
State
Texas
ZIP Code
75142-5872
Phone
(214) 244-0504

Specialties & Taxonomy Codes

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

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