STEPHEN L. WALLACE LPC CAC II NPI 1528177425

NPI Information

NPI: 1528177425
Provider Name: STEPHEN L. WALLACE, LPC, CAC II
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
4601 CORBETT DR
FORT COLLINS, CO
ZIP 80528
Phone: (970) 207-4800
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Stephen L. Wallace, LPC, CAC II is an addiction (substance use disorder) counselor in Fort Collins, CO. Stephen L. Wallace, LPC, CAC II NPI is 1528177425. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4601 CORBETT DR
FORT COLLINS, CO
ZIP 80528-579
Phone: (970) 207-4800
Fax: (970) 207-4805

The enumeration date for this NPI number is 8/30/2006 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	101YA0400X	Counselor	Addiction (Substance Use Disorder)	5301	COLORADO	Yes
2	101YP2500X	Counselor	Professional	639	COLORADO	X

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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