Individual
ELISHA WISENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
7680 GODDARD ST STE 120, COLORADO SPRINGS, CO 80920-8233
(719) 313-5846
Mailing address
717 LAVELETT LN, MONUMENT, CO 80132-2214
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFT.0001511
CO
Other
Enumeration date
10/26/2020
Last updated
10/26/2020
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