Individual provider · Type 1 NPI

Wallis Marlen Luis, MFTC

Addiction (Substance Use Disorder) Counselor · Aurora, CO

NPI number 1902287808 Active

Practice location

12101 E 2nd Ave Ste 100
Aurora, CO 80011-8328

Fax (303) 364-3932

Mailing address

1427 Royal Troon Dr
Castle Rock, CO 80104-5245

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XACD.0000981 (CO)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1902287808

Wallis Marlen Luis, MFTC's National Provider Identifier is 1902287808, issued on Jun 16, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Aurora, CO. The record was last updated on Oct 9, 2019.