| Victoria Lynn Wallace, | |
|
79 Bonnymede Rd, Apt 104, Pueblo, CO 81001-8100 | |
| (720) 985-4453 | |
| Not Available |
| Full Name | Victoria Lynn Wallace |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 79 Bonnymede Rd, Pueblo, Colorado |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952820292 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Victoria Lynn Wallace, 79 Bonnymede Rd Apt 104, Pueblo, CO 81001-1313 Ph: (720) 985-4453 | Victoria Lynn Wallace, 79 Bonnymede Rd, Apt 104, Pueblo, CO 81001-8100 Ph: (720) 985-4453 |
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 |