Jerryd Wallace , LPC
Counselor - Professional • Van Alstyne, TX
Professional Overview & Biography Verified Profile Summary
Jerryd Wallace, LPC is a registered healthcare professional specializing in Counselor - Professional in Van Alstyne, TX. Practice services are available at 162 N. DALLAS AVE under active NPI credentials.
Practice Location & Contact Primary Location
162 N. Dallas Ave
Van Alstyne, TX 754957549
Specialty Benchmarks & Practice Insights
Comparative analytics for Counselor - Professional in Van Alstyne, TX
Practicing in Van Alstyne, TX (21203 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 101YP2500X
Definition to come...
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
NPI status registered as active in NPPES database
Registered at 162 N. DALLAS AVE, VAN ALSTYNE, TX 754957549 (Tel: 4696673515)
Registered at PO BOX 2020, VAN ALSTYNE, TX 754952020 (Tel: 4696673515)
Recorded as JERRYD WALLACE, LPC
Counselor (License #77418 in TX)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
Po Box 2020
Van Alstyne, TX 754952020
Phone: 4696673515
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