Individual
ADRIANA WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCDC
Contact information
Practice address
14871 SKINNER RD, CYPRESS, TX 77429-1694
(346) 306-2404
Mailing address
15323 TYLERMONT DR, CYPRESS, TX 77429-4929
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
TX
Other
Enumeration date
02/13/2019
Last updated
08/03/2021
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