person
Ms. Jilba Meryl Wallace, MALPC
Professional Counselor in Frederick, Colorado
NPI 1982611679

Jilba Meryl Wallace is a Professional Counselor based in Frederick, CO and is specialized in Professional. Jilba Meryl Wallace practices in Frederick, CO and has the professional credentials of MALPC. The NPI Number for Jilba Meryl Wallace is 1982611679 and holds a License No. 1242 (Colorado).

The current practice location address for Jilba Meryl Wallace is 541 Oak Street, Frederick, CO and can be reached out via phone at 303-588-6017.

Location: 541 Oak Street, Frederick, CO, 80530-0908
person
Provider Profile Details
NPI Number
1982611679
Provider Name
Jilba Meryl Wallace
Credential
MALPC
Provider Entity Type
Individual
Gender
Female
Address
541 Oak Street, Frederick, CO, 80530-0908
Phone Number
303-588-6017
Fax Number
Provider Enumeration Date
08/02/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
541 Oak Street
City
State
Zip
80530
Phone Number
303-588-6017
Fax Number
person
Provider Business Mailing Address Details
Address
541 Oak Street
City
State
Zip
80530
Phone Number
303-588-6017
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
1242 (Colorado)
Definition
Definition to come...
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