Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. AMANDA WALLACE, MA, LPC
Active Sole ProprietorMS. AMANDA WALLACE, MA, LPC is a Professional Counselor healthcare provider located in LONGMONT, Colorado. NPI 1366635245 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · LONGMONT, CO
Registration Details
- NPI Number
- 1366635245
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 23, 2007 (18.95405577028 yrs)
- Last Updated
- Aug 23, 2007
- License
-
3502 (CO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1907 KRISTY CTLONGMONT, CO, 805047387Browse CO providers · Browse ZIP 80504
- Phone
- 3035075210
- Primary Specialty
-
Professional Counselor
101YP2500X
Other Professional Counselor Providers in LONGMONT, CO
| Name | Credential | NPI |
|---|---|---|
| DR. CHERYL M MCINTYRE | PH.D., LPC | 1346246246 |
| MR. DAVID NEALE RIDINGER | L.P.C. | 1508896101 |
| MR. PHILIP JOSEPH CERDORIAN | LPC | 1386655595 |
| MS. ANN MANWARING OHARA | MA LPC | 1649356858 |
| MRS. PAMELA R PEDROW | MA LPC | 1619034972 |
| MS. ELLEN ROSENBERG | MED, LPC | 1851443246 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.