Individual provider · Type 1 NPI

Kimberly Devaghun Wallace, MA, LPC, LCDC

Mental Health Counselor · Houston, TX

NPI number 1720886567 Active

Practice location

1775 Saint James Pl Ste 325
Houston, TX 77056-3416

Call (713) 730-9783 Map

Mailing address

3002 Fairdale Estates Ct
Houston, TX 77057-2374

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X92479 (TX)

Mental Health Counselor: Definition to come...

4 other providers at this address

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About NPI 1720886567

Kimberly Devaghun Wallace, MA, LPC, LCDC's National Provider Identifier is 1720886567, issued on Mar 6, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Houston, TX. The record was last updated on Mar 6, 2025.