Individual
ELENA MARQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
4776 EAGLERIDGE CIR, PUEBLO, CO 81008-2120
(719) 553-1000
Mailing address
519 COMANCHE VILLAGE DR, FOUNTAIN, CO 80817-1668
(719) 406-8326
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0009925982
CO
171M00000X
Case Manager/Care Coordinator
Primary
0009925982
CO
Other
Enumeration date
02/12/2025
Last updated
02/12/2025
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