Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. TERRY EUGENE WALLACE, CADC
Active Sole ProprietorMR. TERRY EUGENE WALLACE, CADC is a Addiction (Substance Use Disorder) Counselor healthcare provider located in IDABEL, Oklahoma. NPI 1831304922 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · IDABEL, OK
Registration Details
- NPI Number
- 1831304922
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 11, 2007 (19.242440986081 yrs)
- Last Updated
- Jul 8, 2007
- Licenses
-
71 (OK)9591601399 (OK)558 (OK)
- Sole Proprietor
- Yes
Practice Information
- Address
-
104 NE AVENUE AIDABEL, OK, 74745Browse OK providers · Browse ZIP 74745
- Phone
- 5802863301
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
- Additional Specialty
- Addiction (Substance Use Disorder) Counselor
- Additional Specialty
- Addiction (Substance Use Disorder) Counselor
Other Addiction (Substance Use Disorder) Counselor Providers in IDABEL, OK
| Name | Credential | NPI |
|---|---|---|
| MR. DENNIS DALE WHITTEN | MACJ, LADC, ICAADC | 1184743502 |
| RHONDA CHERYL RODGERS | — | 1801077045 |
| MR. CECIL OSTERDOCK | BA, BHRS,CM | 1912206988 |
| LUCRETIA FAY MCDONALD | — | 1699054841 |
| DAWN MICHELLE ALLEN | — | 1912445743 |
| WILLLIAM LEE PITTS | BA | 1457810202 |
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.