Individual
DR. ELENA ESTANOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
155 BOARDWALK DR, FORT COLLINS, CO 80525-3040
(801) 891-2073
Mailing address
2402 BALLARD LN, FORT COLLINS, CO 80524-1494
(801) 891-2073
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
PSY 3452
CO
103TE1100X
Exercise & Sports Psychologist
PSY 3452
CO
Other
Enumeration date
12/01/2009
Last updated
09/23/2010
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