person
Stephen L. Wallace, LPC,CACII
Professional Counselor in Fort Collins, Colorado
NPI 1528177425

Stephen L. Wallace is a Professional Counselor based in Fort Collins, CO and is specialized in Professional. Stephen L. Wallace practices in Fort Collins, CO and has the professional credentials of LPC,CACII. The NPI Number for Stephen L. Wallace is 1528177425 and holds a License No. 5301 (Colorado).

The current practice location address for Stephen L. Wallace is 4601 Corbett Dr, Fort Collins, CO and can be reached out via phone at 970-207-4800 and via fax at 970-207-4805.

Location: 4601 Corbett Dr, Fort Collins, CO, 80528-9579
person
Provider Profile Details
NPI Number
1528177425
Provider Name
Stephen L. Wallace
Credential
LPC,CACII
Provider Entity Type
Individual
Gender
Male
Address
4601 Corbett Dr, Fort Collins, CO, 80528-9579
Phone Number
970-207-4800
Fax Number
970-207-4805
Provider Enumeration Date
08/30/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
4601 Corbett Dr
City
State
Zip
80528-9579
Phone Number
970-207-4800
Fax Number
970-207-4805
person
Provider Business Mailing Address Details
Address
4601 Corbett Dr
City
State
Zip
80528-9579
Phone Number
970-207-4800
Fax Number
970-207-4805
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
639 (Colorado)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
5301 (Colorado)
Definition
Definition to come...
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