Search › Texas › 101YP2500X

Rane Wallace, MS, LPC, LCDC, SAP

NPI 1205286762 · on the registry since 2016

Practice

Address
4927 Byers Ave # 212
Fort Worth, TX 76107
Phone
(682) 232-4003

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Also registered as
101YA0400X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-07-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas