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Provider Profile

Kimberley R. Wallace, LCDC

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At a glance

About Kimberley Wallace

Kimberley R. Wallace, LCDC is an addiction & substance abuse counselor based in Longview, TX. The provider's National Provider Identifier (NPI) is 1205677150.

Factual summary compiled by Guide.md from public records; not written by this provider.

Credentials & Licensing

TX licenceAs reported to the NPI registry
No. 17017As reported
NPINational Provider Identifier
1205677150Issued 2024

As reported to the NPI registry ↗

Common questions

What does Kimberley R. Wallace specialize in?

Kimberley R. Wallace is an addiction & substance abuse counselor in Longview, TX. That is the designation recorded for this NPI in the federal registry.

NPI registry

Where is Kimberley R. Wallace located?

Kimberley R. Wallace is listed at 107 Woodbine Pl, Longview, TX 75601. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

What is Kimberley R. Wallace's phone number?

The number on file is (903) 758-2471. Contact the office directly to confirm availability and scheduling.

NPI registry

What is Kimberley R. Wallace's NPI number?

Kimberley R. Wallace's National Provider Identifier is 1205677150. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

How long has Kimberley R. Wallace been practicing?

Kimberley R. Wallace has 2+ years experience. Registered with an NPI since 2024. National Provider Identifiers only began in 2005, so a provider who qualified earlier may have practiced for longer than this.

NPI registry

Has Kimberley R. Wallace confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Kimberley R. Wallace. If this is you, claiming it is free.

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