| Ann Pallasch Iii, MA, LPC | |
| 
					1333 Iris Ave, Boulder, CO 80304-2226  | |
| (303) 443-8500 | |
| Not Available | 
| Full Name | Ann Pallasch Iii | 
|---|---|
| Gender | Female | 
| Speciality | Counselor - Professional | 
| Location | 1333 Iris Ave, Boulder, Colorado | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1992936181 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 6821 (Colorado) | Secondary | 
| 101YP2500X | Counselor - Professional | 5258 (Colorado) | Primary | 
| Entity Name | Mental Health Center Of Boulder County, Inc. | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1093767543 PECOS PAC ID: 2163314857 Enrollment ID: O20040326001284  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Ann Pallasch Iii, MA, LPC 1333 Iris Ave, Boulder, CO 80304-2226 Ph: () -  | Ann Pallasch Iii, MA, LPC 1333 Iris Ave, Boulder, CO 80304-2226 Ph: (303) 443-8500  | 
Ms. Glenda Russell O'rourke, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4716 Ashfield Ct, Boulder, CO 80301 Phone: 303-443-9446 Fax: 303-447-2173  | |
Veronique P Mead, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 4439 Driftwood Pl, Boulder, CO 80301 Phone: 303-581-0411  | |
Carlos Trujillo,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 1333 Iris Ave, Boulder, CO 80304 Phone: 303-413-6212  | |
Guilherme Zavaschi,  Counselor Medicare: Medicare Enrolled Practice Location: 1333 Iris Ave, Boulder, CO 80304 Phone: 303-443-8500  | |
Ms. Regina Cannon, REGISTERED PSYCHOTHE Counselor Medicare: Not Enrolled in Medicare Practice Location: 1333 Iris Ave, Boulder, CO 80304 Phone: 303-443-8500  | |
Amanda Fielder,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 1333 Iris Ave, Boulder, CO 80304 Phone: 303-443-8500 Fax: 303-449-6029  | |
Lynne Marie Andrade, MA, LPCC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3360 Everett Dr, Boulder, CO 80305 Phone: 970-532-9999  |