Individual provider · Type 1 NPI
Adriana Wallace, LCDC
Addiction (Substance Use Disorder) Counselor · Cypress, TX
NPI number
1891251906
Active
Practice location
14871 Skinner Rd
Cypress, TX 77429-1694
Mailing address
15323 Tylermont Dr
Cypress, TX 77429-4929
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1891251906
Adriana Wallace, LCDC's National Provider Identifier is 1891251906, issued on Feb 13, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Cypress, TX. The record was last updated on Aug 3, 2021.