Individual
ELISE MARIE PERSONTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW, MSW
Contact information
Practice address
1501 STOVER ST, FORT COLLINS, CO 80524-4248
(970) 316-2621
Mailing address
PO BOX 17, FORT COLLINS, CO 80522-0017
(970) 316-2621
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ACD.0002172
CO
1041C0700X
Clinical Social Worker
Primary
CSW.09927059
CO
Other
Enumeration date
10/02/2019
Last updated
09/02/2025
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