| Wallace Counseling, Llc | |
|
4115 Boardwalk Dr Suite 200 Fort Collins CO 80525-5945 | |
| (970) 817-4049 | |
| (877) 833-4460 |
| Full Name | Wallace Counseling, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 4115 Boardwalk Dr, Fort Collins, Colorado |
| Authorized Official Name and Position | Lisa Wallace (OWNER) |
| Authorized Official Contact | 9708174049 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wallace Counseling, Llc Po Box 273338 Fort Collins CO 80527-3338 Ph: (970) 817-4049 | Wallace Counseling, Llc 4115 Boardwalk Dr Suite 200 Fort Collins CO 80525-5945 Ph: (970) 817-4049 |
| NPI Number | 1003271297 |
|---|---|
| Provider Enumeration Date | 12/15/2015 |
| Last Update Date | 12/15/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003271297 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 5913 (Colorado) | Primary |
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