JILBA MERYL WALLACE

FREDERICK, CO
NPI1982611679
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: CO  1242)
Enumeration Date2006-08-02
Last Update Date2007-07-08
Business Address
Ms. JILBA MERYL WALLACE MA LPC
541 OAK STREET STE 2
FREDERICK, CO 80530
Phone number: 303-588-6017
Mailing Address
Ms. JILBA MERYL WALLACE MA LPC
PO BOX 908
FREDERICK, CO 80530-0908
Phone number: 303-833-2429