Individual provider · Type 1 NPI
Ernastine Wallace
Mental Health Counselor · Cypress, TX
NPI number
1609793470
Active
Practice location
15710 Country Park Way
Cypress, TX 77433-4634
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
Another provider at this address
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About NPI 1609793470
Ernastine Wallace's National Provider Identifier is 1609793470, issued on Jul 2, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Cypress, TX. The record was last updated on Jul 2, 2026.