Wallace, Kerrie

Wallace, Kerrie is an sole proprietor health care provider with primary practice located at 12839 Virgo Dr , Willis TX 77318-5251. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Wallace, Kerrie can be contacted via phone (281) 799-5260.

Contact Information

Primary practice address
12839 Virgo Dr Willis TX 77318-5251
Phone: (281) 799-5260
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 7693 Texas
Behavioral Health & Social Service Providers / Professional 101YP2500X 14980 Texas

Profile Details

NPI number 1083161558
LBN Legal business name Wallace, Kerrie
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 1st, 2016
Last updated Sep 1st, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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