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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