MS. JILBA MERYL WALLACE MA LPC NPI 1982611679

NPI Information

NPI: 1982611679
Provider Name: MS. JILBA MERYL WALLACE, MA LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
541 OAK STREET
STE 2
FREDERICK, CO
ZIP 80530
Phone: (303) 588-6017
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MS. Jilba Meryl Wallace, MA LPC is a professional counselor in Frederick, CO. MS. Jilba Meryl Wallace, MA LPC NPI is 1982611679. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

541 OAK STREET
STE 2
FREDERICK, CO
ZIP 80530
Phone: (303) 588-6017

The enumeration date for this NPI number is 8/2/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	1242	COLORADO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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