Individual
MS. LIDA ANNE ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
19 OLD TOWN SQ, SUITE 21, FORT COLLINS, CO 80524-2471
(970) 227-9897
Mailing address
19 OLD TOWN SQ, SUITE 21, FORT COLLINS, CO 80524-2471
(970) 227-9897
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5790
CO
Other
Enumeration date
09/07/2010
Last updated
09/07/2010
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