Lisa Wallace LPC

NPI # 

Practice Address:

2769 Iris Ave Ste 107

Boulder, CO, 80304-4405

Practice Phone:

970-368-9185

License Number:

0015978

License State:

CO

Taxonomy Grouping:

Behavioral Health & Social Service Providers

Taxonomy Classification:

Counselor

Taxonomy Specialization:

Professional

Taxonomy Code:

101YP2500X

Updated by NPPES on 1/22/2020. You can view the original data set for NPI # 1336779925 on the official NPPES website. If the information about this NPI provider/company is outdated you can request updates through the NPPES website. See our FAQ page for more information.

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Lisa Wallace , LPC 's

CMS CPT® coding data

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Lisa Wallace , LPC 's

CMS prescription data

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