Individual
ELISE S FAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
2624 18TH AVE, GREELEY, CO 80631-4024
(970) 674-3155
Mailing address
2624 18TH AVE, GREELEY, CO 80631-8111
(970) 352-6120
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3797
CO
Other
Enumeration date
10/19/2005
Last updated
04/05/2013
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