Individual
ELISA JAYMES HORROCKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
488 DEER RIDGE DR, BAYFIELD, CO 81122-9452
(828) 273-6190
Mailing address
488 DEER RIDGE DR, BAYFIELD, CO 81122-9452
(828) 273-6190
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC.0017628
CO
Other
Enumeration date
04/10/2023
Last updated
04/10/2023
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