IndividualActive
Kerrie Wallace
NPI 1083161558 · Professional Counselor · Willis, TX
Provider details
- NPI number
- 1083161558
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 7693 (TX)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
12839 Virgo Dr
Willis, TX 77318-5251
Phone: (281) 799-5260
Approximate (ZIP-level) locationGet directions
Mailing address
12839 Virgo Dr
Willis, TX 77318-5251
Registry dates
- Enumerated
- 2016-09-01
- Last updated
- 2016-09-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.