Individual
ELLEN GEOFFRION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC, R-DMT
Contact information
Practice address
533 WRANGELL LN, BERTHOUD, CO 80513-2683
(970) 541-9070
Mailing address
533 WRANGELL LN, BERTHOUD, CO 80513-2683
(970) 541-9070
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
12935
CO
Other
Enumeration date
03/09/2020
Last updated
03/09/2020
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