| Ashli Keanan Wallace, | |
|
20 Loch Lomond Ln, Pueblo, CO 81001-1730 | |
| (808) 778-0777 | |
| Not Available |
| Full Name | Ashli Keanan Wallace |
|---|---|
| Gender | Female |
| Speciality | Counselor |
| Location | 20 Loch Lomond Ln, Pueblo, Colorado |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114767837 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | AC-1241-33397408 (Colorado) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ashli Keanan Wallace, 20 Loch Lomond Ln, Pueblo, CO 81001-1730 Ph: (808) 778-0777 | Ashli Keanan Wallace, 20 Loch Lomond Ln, Pueblo, CO 81001-1730 Ph: (808) 778-0777 |
Mr. Darren Mitchell Speier, BS CAC II Counselor Medicare: Not Enrolled in Medicare Practice Location: 509 E 13th St, Pueblo, CO 81001 Phone: 719-546-6666 Fax: 719-543-7764 | |
Penelope Hyland, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1026 W Abriendo Ave, Pueblo, CO 81004 Phone: 719-545-2746 Fax: 719-545-4100 | |
Melissa Mahan Hall, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1026 W Abriendo Ave, Pueblo, CO 81004 Phone: 719-545-2746 Fax: 719-545-4100 | |
Jaycob Gonzales-cordova, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1302 Chinook Ln, Pueblo, CO 81001 Phone: 719-545-2746 Fax: 719-423-1882 | |
James Ryan Hall, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1304 Chinook Ln, Pueblo, CO 81001 Phone: 719-545-2746 Fax: 719-584-0110 | |
Felicia Gray, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1591 Taos Rd, Pueblo, CO 81006 Phone: 719-545-2746 | |
Stanley Schleifer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1304 Chinook Ln, Pueblo, CO 81001 Phone: 719-545-2746 Fax: 719-584-0119 |