Individual provider · Type 1 NPI
Jennifer Laird Wallace, LPC
Professional Counselor · Livingston, TX
NPI number
1497249882
Active
Practice location
106 E Milam St
Livingston, TX 77351-2936
Other practice locations
- 4468 Duff Rd, Livingston, TX 77351-5627 · (936) 215-1467
- 1629 US Highway 190 E, Livingston, TX 77351-4487 · (936) 259-2119
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 96257 (TX) |
| Licensed Practical Nurse | 164W00000X | 330403 (TX) |
Professional Counselor: Definition to come...
3 other providers at this address
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- Vanessa Parrott Kyle, LPCProfessional Counselor Livingston, TX NPI 1184135824
- Misty Rene Allen, LPCProfessional Counselor Livingston, TX NPI 1275004194
- Rusti Garcia, MS, LPCProfessional Counselor Livingston, TX NPI 1326844549
- Kristen Barho, MA, LPC ASSOCIATEProfessional Counselor Livingston, TX NPI 1366380826
About NPI 1497249882
Jennifer Laird Wallace, LPC's National Provider Identifier is 1497249882, issued on Jun 19, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Livingston, TX. The record was last updated on Jul 24, 2026.