Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STEPHEN L. WALLACE, LPC, CAC II
ActiveAddiction (Substance Use Disorder) Counselor · FORT COLLINS, CO
Registration Details
- NPI Number
- 1528177425
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 30, 2006 (19.644546927684 yrs)
- Last Updated
- Sep 11, 2025
- Licenses
-
5301 (CO)639 (CO)
Practice Information
- Address
-
4601 CORBETT DRFORT COLLINS, CO, 805289579Browse CO providers · Browse ZIP 80528
- Phone
- 9702074800
- Fax
- 9702074805
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
- Additional Specialty
- Professional Counselor
Other Addiction (Substance Use Disorder) Counselor Providers in FORT COLLINS, CO
| Name | Credential | NPI |
|---|---|---|
| CLIFFORD ABEYTA | CAS, MSW | 1669489779 |
| AMY KLOBERDANZ | CAS, BA | 1821105784 |
| ANITA ROYER | CAC II, MA | 1578670337 |
| LYNORA SADLER | MS | 1265549026 |
| MR. DANIEL A BENNETT | LPC, CAC III | 1699884783 |
| BECCA WATSON | — | 1417052911 |
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.