Lisa M Wallace, MA, LPC is a professional counselor in Fort Collins, CO. Lisa M Wallace, MA, LPC NPI is 1124002571. 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:
4103 E BOARDWALK DRIVE
SUITE 202
FORT COLLINS, CO
ZIP 80525-930
Phone: (970) 817-4049
Fax: (877) 833-4460
The NPI 1124002571 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.
The enumeration date for this NPI number is 11/30/2005 and was last updated on 3/15/2021.