Individual
ELIZABETH J GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1008 E BADGER RD, CRESTONE, CO 81131
(720) 442-1999
Mailing address
PO BOX 1180, CRESTONE, CO 81131-1180
(720) 442-1999
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/27/2021
Last updated
04/27/2021
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