Individual
JACQUELINE ELLIFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
700 AUTOMATION DR UNIT H, WINDSOR, CO 80550-3119
(409) 920-3767
Mailing address
2443 WHITE PELICAN AVE, LOVELAND, CO 80538-9393
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0019523
CO
101Y00000X
Counselor
72168
TX
Other
Enumeration date
08/09/2023
Last updated
02/24/2025
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