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Search › Texas › Addiction (Substance Use Disorder) Counselor

Kimberley Wallace, LCDC

NPI 1205677150 · on the registry since 2024 · sole proprietor

Practice

Address
107 Woodbine Pl
Longview, TX 75601
Phone
(903) 758-2471
Fax
(903) 234-1639
Organisation at this address
Sabine Valley Regional Mhmr Center
Sabine Valley Regional Mhmr Center
Sabine Valley Regional Mhmr Center
Sabine Valley Regional Mhmr Center
Sabine Valley Regional Mhmr Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
42

Registry record

Primary taxonomy
Addiction (Substance Use Disorder) Counselor
101YA0400X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-06-05

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