MR. Charles William Wallace, LMFT

NPI #1851506463 in Arvada, Colorado

Provider Information

NPI Number
1851506463
Entity Type
Individual
Name
MR. Charles William Wallace, LMFT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Marriage & Family Therapist
Credential
LMFT
Enumeration Date
May 14, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
5738 OLDE WADSWORTH BLVD
City
Arvada
ZIP Code
80002-2535
Phone
(720) 203-2903

Specialties & Taxonomy Codes

Specialty
Marriage & Family Therapist

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