Wallace, Charles William

Wallace, Charles William is an individual health care provider with primary practice located at 5738 Olde Wadsworth Blvd , Arvada CO 80002-2535. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Wallace, Charles William can be contacted via phone (720) 203-2903.

Contact Information

Primary practice address
5738 Olde Wadsworth Blvd Arvada CO 80002-2535
Phone: (720) 203-2903
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 749 Colorado

Profile Details

NPI number 1851506463
LBN Legal business name Wallace, Charles William
Credentials LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date May 14th, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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