Individual
ELYSE MAREA RAUPP-GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
2355 STATE ST, ST 101, SALEM, OR 97301-6540
(503) 270-3072
Mailing address
1750 FLORIDA RD, DURANGO, CO 81301-6540
(502) 751-9850
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LPCC.0020582
CO
101YM0800X
Mental Health Counselor
Primary
R8511
OR
Other
Enumeration date
06/07/2023
Last updated
08/22/2023
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