Organization
ELIZABETH YAEGER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH YAEGER LPC (PSYCHOTHERAPIST)
(719) 544-0877
Entity
Organization
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
101YM0800X
Mental Health Counselor
Primary
1607
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
136152
—
CO
Enumeration date
01/16/2007
Last updated
08/22/2020
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