Karen Ann Wallace, MALPC Valid NPI
Individual provider · Mental Health Counselor · Ignacio, CO
- NPI
- 1649404500
- Type
- Individual (Type 1)
- Primary specialty
- Mental Health Counselor (Counselor)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101YM0800X
- License number
- 1405 (CO)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2009-05-07
- Last updated
- 2009-05-07
Practice location
285 Lakin Street
Ignacio, CO 81137-0800
(970) 563-4517