LEROY WALLACE

HOUSTON, TX
NPI1790602647
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2026-07-01
Last Update Date2026-07-01
Business Address
LEROY WALLACE QMHP-CS
3511 DAWSON LN
HOUSTON, TX 77051-3216
Phone number: 832-341-6177
Mailing Address
LEROY WALLACE QMHP-CS
3511 DAWSON LN
HOUSTON, TX 77051-3216
Phone number: 832-341-6177