| Kerrie Wallace, | |
|
12839 Virgo Dr, Willis, TX 77318-5251 | |
| (281) 799-5260 | |
| Not Available |
| Full Name | Kerrie Wallace |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 12839 Virgo Dr, Willis, Texas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083161558 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 7693 (Texas) | Secondary |
| 101YP2500X | Counselor - Professional | 14980 (Texas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kerrie Wallace, 12839 Virgo Dr, Willis, TX 77318-5251 Ph: (281) 799-5260 | Kerrie Wallace, 12839 Virgo Dr, Willis, TX 77318-5251 Ph: (281) 799-5260 |
Leanette Marie Burns, LCDC, LPC-INTERN Counselor Medicare: Medicare Enrolled Practice Location: 101 Laurie Ln, Willis, TX 77378 Phone: 402-415-8702 | |
Mary Selby, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 15201 Arrowhead Loop E, Willis, TX 77378 Phone: 281-460-2278 | |
Susana Martinez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 15508 Big Bow Bnd, Willis, TX 77378 Phone: 936-443-9152 | |
Mr. Charles Marcus Smith, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 11861 Nelwood St, Willis, TX 77318 Phone: 936-333-6230 | |
Mrs. Eva J Oliphant, LPC LICENSED PROFESS Counselor Medicare: Not Enrolled in Medicare Practice Location: 817 Mlk, Willis, TX 77378 Phone: 936-661-4043 |