SearchColorado101YP2500X

Jilba Wallace, MA LPC

NPI 1982611679 · on the registry since 2006 · sole proprietor

Practice

Address
541 Oak Street
Ste 2
Frederick, CO 80530
Phone
(303) 588-6017

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
2007-07-08

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