Individual
ELIZABETH ELDRIDGE BRANDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT, CACII, CHT
Contact information
Practice address
219 W MAGNOLIA ST, FORT COLLINS, CO 80521-2926
(970) 829-7391
Mailing address
143 E HARVARD ST, FORT COLLINS, CO 80525-1735
(970) 305-1505
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ACB.0007903
CO
106H00000X
Marriage & Family Therapist
Primary
MFT.0000599
CO
Other
Enumeration date
12/06/2015
Last updated
12/06/2015
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