AMANDA WALLACE

LONGMONT, CO
NPI1366635245
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: CO  3502)
Enumeration Date2007-08-23
Last Update Date2007-08-23
Business Address
Ms. AMANDA WALLACE MA, LPC
1907 KRISTY CT
LONGMONT, CO 80504-7387
Phone number: 303-507-5210
Mailing Address
Ms. AMANDA WALLACE MA, LPC
1907 KRISTY CT
LONGMONT, CO 80504-7387
Phone number: 303-507-5210