LISA WALLACE

BOULDER, CO
NPI1336779925
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: CO  0015978)
Enumeration Date2020-01-22
Last Update Date2020-01-22
Business Address
LISA WALLACE LPC
2769 IRIS AVE STE 107
BOULDER, CO 80304-4405
Phone number: 970-368-9185
Mailing Address
LISA WALLACE LPC
1600 BRADLEY CT
BOULDER, CO 80305-7310
Phone number: 970-389-3612
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