Individual
MS. ELIZABETH S REISEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW, LMFT
Contact information
Practice address
1225 KEN PRATT BLVD UNIT 137, LONGMONT, CO 80501-9000
(720) 727-7373
Mailing address
1501 PEARL CV, ROUND ROCK, TX 78681-1967
(303) 727-7373
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
106795
TX
1041C0700X
Clinical Social Worker
Primary
CSW2105
CO
106H00000X
Marriage & Family Therapist
MFT1178
CO
Other
Enumeration date
03/04/2011
Last updated
03/22/2023
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