Jerryd Wallace, LPC
Jerryd Wallace, LPC is a Professional Counselor in Van Alstyne, Texas. Licensed in Texas. Registered with an NPI since 2018.
- Licensed in
- TX
- In the registry since
- 2018
What do these letters mean?
- LPC — Licensed Professional Counselor
- A licensed mental health counsellor.
Practice location Address checks out
162 N Dallas AveVan Alstyne, TX 75495-7549
Phone: (469) 667-3515
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Professional Counselor (primary) | Taxonomy 101YP2500X · Licence 77418 (TX) |
|---|
Record details
| NPI number | 1821573387 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | LPC |
| Sole proprietor | No |
| NPI enumerated | October 1, 2018 |
| Last updated in NPPES | October 1, 2018 |
| Mailing address | Po Box 2020, Van Alstyne, TX 75495-2020 |
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