Individual
ELAINE COLLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1290 CHEROKEE LN, WICKENBURG, AZ 85390-1741
(406) 880-5867
Mailing address
1290 CHEROKEE LN, WICKENBURG, AZ 85390-1741
(406) 880-5867
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-20851
AZ
Other
Enumeration date
06/19/2022
Last updated
01/10/2025
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