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Organization
WALLACE COUNSELING, LLC
Active
Organization
WALLACE COUNSELING, LLC
Active
Parent organization
WALLACE COUNSELING, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
WALLACE COUNSELING, LLC
Authorized official
LISA WALLACE (OWNER)
(970) 817-4049
Entity
Organization
Contact information
Practice address
4115 BOARDWALK DR, SUITE 200, FORT COLLINS, CO 80525-5945
(970) 817-4049
(877) 833-4460
Mailing address
PO BOX 273338, FORT COLLINS, CO 80527-3338
(970) 817-4049
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5913
CO
Other
Enumeration date
12/15/2015
Last updated
12/15/2015
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