DEDRA WALLACE

PUEBLO, CO
NPI1063810877
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: CO  LPC.0013214)
Enumeration Date2014-12-10
Last Update Date2016-10-19
Business Address
-- DEDRA WALLACE
1302 CHINOOK LN
PUEBLO, CO 81001-1851
Phone number: 719-545-2746
Mailing Address
-- DEDRA WALLACE
41 MONTEBELLO ROAD SUITE 200
PUEBLO, CO 81004-1128
Phone number: 719-545-2746