Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jerryd Wallace, LPC

Individual provider Professional Counselor · NPI 1821573387

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.

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Practice location Address checks out

162 N Dallas Ave
Van 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 number1821573387
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC
Sole proprietorNo
NPI enumeratedOctober 1, 2018
Last updated in NPPESOctober 1, 2018
Mailing addressPo Box 2020, Van Alstyne, TX 75495-2020

Other providers in Van Alstyne