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SUSAN ELIZABETH ELLIOTT
Mental Health >> Counselor >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1679240568
Individual Registrant: SUSAN ELIZABETH ELLIOTT
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
360 EBY CREEK RD. EAGLE, CO 81631 US
Tel: 970-306-4673 Fax: --
Tel: 970-306-4673 Fax: --
Contact information for business:
PO BOX 2127 EAGLE, CO 81631-2127 US
Tel: -- Fax: --
Tel: -- Fax: --
Registration Information:
NPI: 1679240568
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 101YM0800X | Behavioral Health & Social Service Providers Counselor Mental Health | CO | LPCC.0017839 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
