| Lisa Wallace, LPC | |
|
2769 Iris Ave Ste 107, Boulder, CO 80304-4405 | |
| (970) 368-9185 | |
| Not Available |
| Full Name | Lisa Wallace |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 2769 Iris Ave Ste 107, Boulder, Colorado |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336779925 | NPI | - | NPPES |
| 14607457 | Other | CO | CAQH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 0015978 (Colorado) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Wallace, LPC 1600 Bradley Ct, Boulder, CO 80305-7310 Ph: (970) 389-3612 | Lisa Wallace, LPC 2769 Iris Ave Ste 107, Boulder, CO 80304-4405 Ph: (970) 368-9185 |
Ms. Glenda Russell O'rourke, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4716 Ashfield Ct, Boulder, CO 80301 Phone: 303-443-9446 Fax: 303-447-2173 | |
Veronique P Mead, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 4439 Driftwood Pl, Boulder, CO 80301 Phone: 303-581-0411 | |
Carlos Trujillo, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1333 Iris Ave, Boulder, CO 80304 Phone: 303-413-6212 | |
Guilherme Zavaschi, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1333 Iris Ave, Boulder, CO 80304 Phone: 303-443-8500 | |
Ms. Regina Cannon, REGISTERED PSYCHOTHE Counselor Medicare: Not Enrolled in Medicare Practice Location: 1333 Iris Ave, Boulder, CO 80304 Phone: 303-443-8500 | |
Amanda Fielder, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1333 Iris Ave, Boulder, CO 80304 Phone: 303-443-8500 Fax: 303-449-6029 | |
Lynne Marie Andrade, MA, LPCC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3360 Everett Dr, Boulder, CO 80305 Phone: 970-532-9999 |