Individual
DR. JESSE WALLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
2010 BLUFF DR, NOLANVILLE, TX 76559-0050
(760) 443-7154
Mailing address
2010 BLUFF DR, NOLANVILLE, TX 76559-0050
(760) 443-7154
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
206370
TX
Other
Enumeration date
03/16/2026
Last updated
03/16/2026
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