LISA WALLACE, MA, LPC

Counselor - Professional

Active Individual
NPI: 1124002571

Practice Address

4103 E BOARDWALK DRIVE
SUITE 202
Fort Collins, CO 80525

Phone: (970) 817-4049

Specialties

Specialty Code Primary License
Counselor - Professional 101YP2500X Yes 5913 (CO)

Frequently Asked Questions

NPI 1124002571 is the National Provider Identifier for LISA WALLACE, MA, LPC, a Counselor - Professional provider located in Fort Collins, CO. This NPI was enumerated on November 30, 2005.
LISA WALLACE, MA, LPC practices at 4103 E BOARDWALK DRIVE, SUITE 202, Fort Collins, CO 80525.

Quick Facts

NPI
1124002571
Type
Individual
Enumerated
Nov 30, 2005
Last Updated
Dec 1, 2025

Nearby Providers