Individual
MRS. ELAINE HUMPHRIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S./ LMFT
Contact information
Practice address
10 BOULDER CRESCENT ST, 203D, COLORADO SPRINGS, CO 80903-3344
(719) 433-1632
Mailing address
1253 E MADISON ST, COLORADO SPRINGS, COLORADO SPRINGS, CO 80907-7136
(719) 433-1632
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
258
CO
Other
Enumeration date
08/13/2016
Last updated
08/13/2016
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