Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Terry Eugene Wallace, CADC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1831304922

Mr. Terry Eugene Wallace, CADC is an Addiction (Substance Use Disorder) Counselor in Idabel, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma.

Licensed in
OK
In the registry since
2007
Specialties on file
3
What do these letters mean?
CADC — Certified Alcohol and Drug Counselor
A certified addiction counsellor.

See every abbreviation used in this directory →

Practice location Address checks out

104 NE Avenue A
Idabel, OK 74745
Phone: (580) 286-3301
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 71 (OK)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 9591601399 (OK)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 558 (OK)

Record details

NPI number1831304922
Entity typeIndividual (Type 1)
GenderMale
Credentials CADC
Sole proprietorYes
NPI enumeratedMay 11, 2007
Last updated in NPPESJuly 8, 2007

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