| Jerryd Wallace, LPC | |
|
162 N. Dallas Ave, Van Alstyne, TX 75495-7549 | |
| (469) 667-3515 | |
| Not Available |
| Full Name | Jerryd Wallace |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 162 N. Dallas Ave, Van Alstyne, Texas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821573387 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 77418 (Texas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jerryd Wallace, LPC Po Box 2020, Van Alstyne, TX 75495-2020 Ph: (469) 667-3515 | Jerryd Wallace, LPC 162 N. Dallas Ave, Van Alstyne, TX 75495-7549 Ph: (469) 667-3515 |
Lisa O'connor, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 902 Edwards Rd, Van Alstyne, TX 75495 Phone: 214-394-4517 |
Jennifer Cuyle, LPC Counselor Medicare: Medicare Enrolled Practice Location: 524 N Lincoln Park Rd, Van Alstyne, TX 75495 Phone: 800-388-4601 |
Jill Renae Heilman, Counselor Medicare: May Accept Medicare Assignments Practice Location: 15048 Us Highway 75 Ste 4, Van Alstyne, TX 75495 Phone: 903-815-1671 |
Craig Turczynski, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1233 Eagle Point Rd, Van Alstyne, TX 75495 Phone: 314-888-5233 Fax: 203-590-8644 |
Elizabeth Sanchez, LPC, LCDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 524 N Lincoln Park Rd, Van Alstyne, TX 75495 Phone: 800-388-4601 |
Mr. Lester Isaac Bloomenstiel, M.S., L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 7454 Fm 121, Van Alstyne, TX 75495 Phone: 903-482-5128 Fax: 903-482-5128 |
Travis Patrick Gump, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1610 Ebling Way, Van Alstyne, TX 75495 Phone: 469-657-8572 |