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

Mr. Terry Eugene Wallace, CADC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1831304922

Mr. Terry Eugene Wallace, CADC is an Addiction (Substance Use Disorder) Counselor in Idabel, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma.

Licensed in
OK
In the registry since
2007
Specialties on file
3
What do these letters mean?
CADC — Certified Alcohol and Drug Counselor
A certified addiction counsellor.

See every abbreviation used in this directory →

Practice location Address checks out

104 NE Avenue A
Idabel, OK 74745
Phone: (580) 286-3301
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 71 (OK)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 9591601399 (OK)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 558 (OK)

Record details

NPI number1831304922
Entity typeIndividual (Type 1)
GenderMale
Credentials CADC
Sole proprietorYes
NPI enumeratedMay 11, 2007
Last updated in NPPESJuly 8, 2007
Mailing addressHc 73 Box 348, Haworth, OK 74740-9515

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