Kimberley R Wallace, LCDC
NPI #1205677150 in Longview, Texas
Provider Information
- NPI Number
- 1205677150
- Entity Type
- Individual
- Name
- Kimberley R Wallace, LCDC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- LCDC
- Enumeration Date
- Jun 4, 2024
- Last Updated
- Jun 5, 2024
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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