SearchColoradoProfessional Counselor

Lisa Wallace, MA, LPC

NPI 1124002571 · on the registry since 2005

Practice

Address
4103 E Boardwalk Drive
Suite 202
Fort Collins, CO 80525
Phone
(970) 817-4049
Fax
(877) 833-4460

Registry record

Primary taxonomy
Professional Counselor
101YP2500X
Also registered as
Professional Counselor
Licence states on file
WY, CO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-12-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado