Individual
MRS. CARRIE L ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
350 S PARFET ST, LAKEWOOD, CO 80226-2577
(303) 618-6808
Mailing address
350 S PARFET ST, LAKEWOOD, CO 80226-2577
(303) 618-6808
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3509
CO
Other
Enumeration date
06/14/2023
Last updated
06/14/2023
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