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Provider Profile

Dedra Wallace

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At a glance

About Dedra Wallace

Dedra Wallace is a professional counselor based in Pueblo, CO. The provider's National Provider Identifier (NPI) is 1063810877.

Factual summary compiled by Guide.md from public records; not written by this provider.

Education & Training

School Other Graduated: 2014

Specialty

Credentials & Licensing

CO licenceAs reported to the NPI registry
No. LPC.0013214As reported
NPINational Provider Identifier
1063810877Issued 2014

As reported to the NPI registry ↗

Medicare information

Accepts Medicare assignmentYes
Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What kind of doctor is Dedra Wallace?

Dedra Wallace is a professional counselor in Pueblo, CO. That is the designation recorded for this NPI in the federal registry.

NPI registry

What is Dedra Wallace's address?

Dedra Wallace is listed at 1302 Chinook Ln, Pueblo, CO 81001. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

How can I make an appointment with Dedra Wallace?

The number on file is (719) 545-2746. Contact the office directly to confirm availability and scheduling.

NPI registry

What is the NPI for Dedra Wallace?

Dedra Wallace's National Provider Identifier is 1063810877. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

Where did Dedra Wallace train?

Dedra Wallace attended Other, graduating in 2014. This comes from the CMS National Downloadable File.

CMS public data

How much experience does Dedra Wallace have?

Dedra Wallace has 12 years experience. Calculated from a graduation year of 2014, reported in the CMS National Downloadable File.

CMS public data

Is Dedra Wallace's profile verified?

Not yet. This profile is built from public federal data and has not been confirmed by Dedra Wallace. If this is you, claiming it is free.

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