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Search › Colorado › 101YP2500X

Lisa Wallace, LPC

NPI 1336779925 · on the registry since 2020 · sole proprietor

Practice

Address
2769 Iris Ave Ste 107
Boulder, CO 80304
Phone
(970) 368-9185
Organisation at this address
Joey Stoops Llc
Life'S Hope Therapeutic Services Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
15

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Licence states on file
CO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-01-22

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