Search › Texas › 101YP2500X
Jerryd Wallace, LPC
NPI 1821573387 · on the registry since 2018
Practice
- Address
- 162 N. Dallas Ave
Van Alstyne, TX 75495 - Phone
- (469) 667-3515
- Organisation at this address
- Hope For Home Counseling
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-10-01
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