Individual
ELISE MALONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
3257 W 20TH ST STE 200, GREELEY, CO 80634-6550
(720) 672-4667
Mailing address
4025 RAWLINS ST, CHEYENNE, WY 82001-1900
(307) 426-4797
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
20221114498
CO
101YP2500X
Professional Counselor
Primary
LPC.0020025
CO
Other
Enumeration date
11/09/2022
Last updated
02/01/2024
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