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Individual

GREGORY MAYES ELLIOTT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MA, LPC

Contact information

Practice address
8745 COUNTY ROAD 9 S, ALAMOSA, CO 81101-9610
(719) 589-3671
Mailing address
9933 PIONEER WAY, ALAMOSA, CO 81101-9570
(719) 480-0330

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4443
CO

Other

Enumeration date
12/18/2015
Last updated
12/18/2015
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