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

Kerrie Wallace

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1083161558

Kerrie Wallace is an Addiction (Substance Use Disorder) Counselor in Willis, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2016
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

12839 Virgo Dr
Willis, TX 77318-5251
Phone: (281) 799-5260
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 14980 (TX)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 7693 (TX)

Record details

NPI number1083161558
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 1, 2016
Last updated in NPPESSeptember 1, 2016
Mailing address12839 Virgo Dr, Willis, TX 77318-5251

Other providers in Willis