Individual provider · Type 1 NPI

Faith Ann Wallace, M.S., L.P.C.

Professional Counselor · Thornton, CO

NPI number 1184630196 Active

Practice location

8931 Huron St
Thornton, CO 80260-6806

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X1980 (KS)
Mental Health Counselor 101YM0800XRC00055242 (WA)
Professional Counselor Primary 101YP2500XLPC.0015471 (CO)

Professional Counselor: Definition to come...

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About NPI 1184630196

Faith Ann Wallace, M.S., L.P.C.'s National Provider Identifier is 1184630196, issued on Jul 31, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Thornton, CO. The record was last updated on Jul 2, 2019.