Individual
JUDITH D. ELDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
1 EL PUEBLO RANCH WAY, PUEBLO, CO 81006-2103
(719) 404-1130
(719) 544-7705
Mailing address
1715 CRESTMOOR DR, PUEBLO, CO 81001-2729
(719) 404-1130
(719) 544-7705
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-1272
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20775881
—
CO
Enumeration date
05/22/2007
Last updated
07/09/2007
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