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Organization
WALLACE COUNSELING, LLC
Active
Organization
WALLACE COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA M WALLACE MA, LPC (OWNER)
(970) 817-4049
Entity
Organization
Contact information
Practice address
4103 BOARDWALK DR UNIT 202, FORT COLLINS, CO 80525-5930
(970) 817-4049
(877) 833-4460
Mailing address
PO BOX 273338, FORT COLLINS, CO 80527-3338
(970) 817-4049
(877) 833-4460
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5913
CO
Other
Enumeration date
09/23/2011
Last updated
10/13/2025
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