Individual
MRS. ELIZABETH DAWN MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CACIII
Contact information
Practice address
140 S PARKSIDE DR, COLORADO SPRINGS, CO 80910-3129
(719) 358-7338
Mailing address
437 E FOUNTAIN PL, MANITOU SPRINGS, CO 80829-2127
(719) 930-8801
(719) 685-1502
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
7105
CO
Other
Enumeration date
06/09/2011
Last updated
06/20/2022
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