Individual
ELEANOR CORIELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1625 N CORONA ST, COLORADO SPRINGS, CO 80907-7624
(719) 339-7415
Mailing address
1625 N CORONA ST, COLORADO SPRINGS, CO 80907-7624
(719) 339-7415
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0000741
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000741
STATE OF COLORADO REGULATORY AGENCIES
CO
Enumeration date
06/08/2015
Last updated
06/08/2015
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