MS. AMANDA WALLACE, MA, LPC
Counselor - Professional
Active
Individual
NPI: 1366635245
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Professional | 101YP2500X | Yes | 3502 (CO) |
Frequently Asked Questions
NPI 1366635245 is the National Provider Identifier for MS. AMANDA WALLACE, MA, LPC, a Counselor - Professional provider located in Longmont, CO. This NPI was enumerated on August 23, 2007.
MS. AMANDA WALLACE, MA, LPC practices at 1907 KRISTY CT, Longmont, CO 80504.
Quick Facts
- NPI
- 1366635245
- Type
- Individual
- Enumerated
- Aug 23, 2007
- Last Updated
- Aug 23, 2007
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