Individual
MARIANA LARA ELIZONDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LAC
Contact information
Practice address
1250 ACADEMY PARK LOOP, COLORADO SPRINGS, CO 80910-3708
(719) 269-4560
Mailing address
1250 ACADEMY PARK LOOP, COLORADO SPRINGS, CO 80910-3708
(719) 269-4560
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ACD.0001469
CO
Other
Enumeration date
10/24/2025
Last updated
10/24/2025
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