Kerrie Wallace
Professional Counselor · Willis, TX
Practice location
12839 Virgo DrWillis, TX 77318-5251
- Phone
- (281) 799-5260
NPI record
- NPI
- 1083161558
- Entity type
- Individual (Type 1)
- Enumeration date
- September 1, 2016
- Last updated
- September 1, 2016
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Professional Counselor Primary | 101YP2500X |
14980 | TX |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X |
7693 | TX |
About Kerrie Wallace
Kerrie Wallace is a healthcare provider registered in the NPI registry with the primary taxonomy Professional Counselor (code 101YP2500X). The practice location is 12839 Virgo Dr, Willis, TX 77318-5251. The NPI number 1083161558 was assigned on September 1, 2016 and the record was last updated on September 1, 2016.
Kerrie Wallace lists 2 licenses in the registry: #14980 (TX) for Professional Counselor; #7693 (TX) for Addiction (Substance Use Disorder) Counselor. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Kerrie Wallace?
The NPI number is 1083161558.
What is the phone number of Kerrie Wallace?
The phone number listed for the practice location is (281) 799-5260.
Where is Kerrie Wallace located?
12839 Virgo Dr, Willis, TX 77318-5251.
What is the taxonomy code for Kerrie Wallace?
The primary taxonomy code is 101YP2500X – Professional Counselor; 1 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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