MS. Jilba Meryl Wallace, MA LPC
NPI #1982611679 in Frederick, Colorado
Provider Information
- NPI Number
- 1982611679
- Entity Type
- Individual
- Name
- MS. Jilba Meryl Wallace, MA LPC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Credential
- MA LPC
- Enumeration Date
- Aug 2, 2006
- Last Updated
- Jul 8, 2007
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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