Individual
CHARLES ELIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW MAC LAC
Contact information
Practice address
244 E AGATE AVENUE, GRANBY, CO 80446
(970) 887-2179
(970) 887-9311
Mailing address
715 HORIZON DR STE 225, GRAND JUNCTION, CO 81506-8743
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ACD.0000231
CO
1041C0700X
Clinical Social Worker
Primary
CSW-541
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000174957
—
CO
Enumeration date
04/07/2008
Last updated
06/10/2025
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