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Individual

MS. KRIS MICHELE ELLIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC, ATR, MA

Contact information

Practice address
619 MAIN ST, FRISCO, CO 80443-1539
(970) 485-0447
Mailing address
PO BOX 1539, FRISCO, CO 80443-1539
(970) 485-0447

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
09-157
CO
101YP2500X
Professional Counselor
Primary
5479
CO

Other

Enumeration date
04/04/2007
Last updated
09/16/2010
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