Individual
ELIZABETH L ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LAC
Contact information
Practice address
3901 GRANITE CT, FORT COLLINS, CO 80526-3190
(970) 231-9205
Mailing address
3901 GRANITE CT, FORT COLLINS, CO 80526-3190
(970) 231-9205
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
5876
CO
101YA0400X
Addiction (Substance Use Disorder) Counselor
495
CO
101YM0800X
Mental Health Counselor
5876
CO
101YP2500X
Professional Counselor
Primary
5876
CO
106H00000X
Marriage & Family Therapist
5876
CO
Other
Enumeration date
01/12/2011
Last updated
01/03/2017
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