Amanda Wallace is a Professional in Longmont, Colorado. Amanda Wallace practices all healthcare services and medical treatments related to Professional. The NPI Number for Amanda Wallace is 1366635245. The last update date is 2007-08-23.
Amanda Wallace's current location address is 1907 Kristy Ct, Longmont, Colorado. You can contact this provider via phone number 3035075210. The mailing address for Amanda Wallace is 1907 Kristy Ct, Longmont, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Amanda Wallace |
|---|---|
| Address | 1907 Kristy Ct, Longmont, Colorado |
| Phone Number | 3035075210 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MA, LPC |
NPI Number Detail
| NPI Number | 1366635245 |
|---|---|
| Provider Enumeration Date | 2007-08-23 |
| Last Updated Date | 2007-08-23 |
Provider Mailing Address Detail
| Address | 1907 Kristy Ct |
|---|---|
| City | Longmont |
| State | Colorado (CO) |
| Post Code | 805047387 |
| Phone Number | 3035075210 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Professional |
|---|---|
| Taxonomy | 101Yp2500X |
| Licence No | 3502 |
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Definition: A general counselor who helps people with personal, social, educational, and career issues. |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Amanda Wallace by the Centers for Medicare & Medicaid Services?
The Amanda Wallace has been issued the NPI (National Provider Identifier) 1366635245, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Amanda Wallace's physical address?
The Amanda Wallace is physically located at 1907 Kristy Ct, in the city of Longmont, CO, with the postal code 805047387.
What is Amanda Wallace's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Amanda Wallace is Professional, and the corresponding taxonomy classification code for this specialized field is 101Yp2500X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1366635245 to Amanda Wallace?
The Centers for Medicare & Medicaid Services originally issued the 1366635245 to Amanda Wallace on 2007-08-23.
When was the information pertaining to Amanda Wallace most recently updated or revised?
The details related to Amanda Wallace, including its address, specialty, and other relevant information, were last updated or revised on 2007-08-23.
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