Individual
ELI VIRGIL COVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1125 THREE SPRINGS BLVD, DURANGO, CO 81301-9033
(970) 403-0180
Mailing address
1125 THREE SPRINGS BLVD, DURANGO, CO 81301-9033
(970) 403-0180
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC.0014282
CO
Other
Enumeration date
12/26/2017
Last updated
01/11/2018
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