Dedra Wallace is a Pueblo, Colorado based counselor who is specialized as Professional Counselor. Active license number of Dedra Wallace is LPC.0013214 for Professional Counselor in Colorado. Her current practice location is 1302 Chinook Ln, Pueblo. Patients can book an appointment with her at 719-545-2746.
Dedra Wallace is a licensed mental health practitioner trained to help individuals, couples, and groups address emotional, psychological, and behavioral challenges. She uses talk therapy and evidence-based counseling methods to support clients in managing mental health conditions, improving relationships, and developing coping strategies for life’s difficulties.
Complete Profile:
Dedra Wallace speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Dedra Wallace
Specialization:
Professional Counselor
Gender:
Female
Accepts Medicare Assignment:
No
Practice Address:
1302 Chinook Ln, Pueblo, Colorado, 81001-1851
Phone:
719-545-2746
Fax:
719-545-4100
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1063810877
NPI Enumeration Date:
10 Dec, 2014
NPI Last Update On:
19 Oct, 2016
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dedra Wallace are as mentioned below.
License Number
Specialization
State
Status
LPC.0013214
Professional Counselor
Colorado
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
41 Montebello Road, Suite 200 Pueblo, Colorado
Zip:
81004-1128
Phone Number:
719-545-2746
Fax Number:
719-545-4100
Patients can reach Dedra Wallace at 1302 Chinook Ln, Pueblo, Colorado or can call to book an appointment on 719-545-2746. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 June, 2025.