Individual
ELIZABETH ANN YAEGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
417 W 13TH ST, PUEBLO, CO 81003-2703
(719) 544-0877
(719) 544-2033
Mailing address
417 W 13TH ST, PUEBLO, CO 81003-2703
(719) 544-0877
(719) 544-2033
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1607
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
136152
—
CO
01
—
1607
LPC
CO
Enumeration date
11/09/2006
Last updated
07/08/2007
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