Individual
ELIZABETH ANN FARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LAC
Contact information
Practice address
5455 N UNION BLVD, COLORADO SPRINGS, CO 80918-2077
(719) 308-5450
Mailing address
5455 N UNION BLVD, COLORADO SPRINGS, CO 80918-2077
(719) 308-5450
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ACD.0001430
CO
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
LSW.0009920946
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003871328
—
CO
Enumeration date
03/30/2018
Last updated
10/02/2024
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