Individual
DAWAUNE LATIEFTH ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2323 S TROY ST, AURORA, CO 80014-1946
(720) 882-2421
(720) 882-2421
Mailing address
2323 S TROY ST STE 209, AURORA, CO 80014-1946
(303) 671-2480
(303) 671-2480
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
103T00000X
Psychologist
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
920653694
—
CO
Enumeration date
06/19/2017
Last updated
08/09/2022
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