Individual
MS. ELISSA ELAINE BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
320 W OLIVE ST, FORT COLLINS, CO 80521-2716
(970) 371-8911
Mailing address
945 LOGAN CT, LOVELAND, CO 80538-3100
(970) 371-8911
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC.0005535
CO
Other
Enumeration date
09/13/2017
Last updated
09/13/2017
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