Organization
HOPE FOR HOME COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRYD WALLACE (DIRECTOR/COUNSELOR)
(469) 667-3515
Entity
Organization
Contact information
Practice address
162 N. DALLAS AVE, VAN ALSTYNE, TX 75495-7549
(469) 667-3515
Mailing address
PO BOX 2020, VAN ALSTYNE, TX 75495-2020
(469) 667-3515
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/01/2018
Last updated
10/01/2018
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