Individual
ELIZA BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
706 FRONT ST, LOUISVILLE, CO 80027-1888
(720) 505-3786
Mailing address
937 VETCH CIR, LAFAYETTE, CO 80026-1777
(720) 934-8676
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC.0015095
CO
Other
Enumeration date
04/24/2025
Last updated
04/24/2025
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