Individual
DARIN JOSEPH WALLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT, LCSW, CAC III
Contact information
Practice address
4891 INDEPENDENCE ST, SUITE 165, WHEAT RIDGE, CO 80033-6752
(303) 456-0600
(303) 456-0607
Mailing address
4891 INDEPENDENCE ST, SUITE 165, WHEAT RIDGE, CO 80033-6752
(303) 456-0600
(303) 456-0607
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
426
CO
101YM0800X
Mental Health Counselor
6033
CO
101YM0800X
Mental Health Counselor
Primary
750
CO
Other
Enumeration date
12/31/2008
Last updated
01/15/2009
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