Individual
ELIZABETH ANNE COLISTRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
708 ORLEANS AVE APT B, NEW ORLEANS, LA 70116-3132
(917) 830-3159
Mailing address
708 ORLEANS AVE APT B, NEW ORLEANS, LA 70116-3132
(917) 830-3159
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
003382
LA
106H00000X
Marriage & Family Therapist
IMF55606
CA
Other
Enumeration date
09/29/2008
Last updated
12/09/2019
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