Individual provider · Type 1 NPI

Ashli Keanan Wallace

Counselor · Colorado Springs, CO

NPI number 1114767837 Active

Practice location

2107 Essex Ln
Colorado Springs, CO 80909-1425

Call (808) 778-0777 Map

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XAC-1241-33397408 (CO)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1114767837

Ashli Keanan Wallace's National Provider Identifier is 1114767837, issued on May 30, 2024. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Colorado Springs, CO. The record was last updated on Jan 2, 2025.