Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JERRYD WALLACE, LPC
ActiveJERRYD WALLACE, LPC is a Professional Counselor healthcare provider located in VAN ALSTYNE, Texas. NPI 1821573387 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · VAN ALSTYNE, TX
Registration Details
- NPI Number
- 1821573387
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 1, 2018 (7.8453677883735 yrs)
- Last Updated
- Oct 1, 2018
- License
-
77418 (TX)
Practice Information
- Address
-
162 N. DALLAS AVEVAN ALSTYNE, TX, 754957549Browse TX providers · Browse ZIP 75495
- Phone
- 4696673515
- Primary Specialty
-
Professional Counselor
101YP2500X
Other Professional Counselor Providers in VAN ALSTYNE, TX
| Name | Credential | NPI |
|---|---|---|
| MR. LESTER ISAAC BLOOMENSTIEL | M.S., L.P.C. | 1639320625 |
| JILL RENAE HEILMAN | — | 1306484787 |
| LEIGH WOOD | LPC | 1811572191 |
| LISA O'CONNOR | LPC | 1245003946 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.