Individual
ELISSA PAVESE
Active
Individual
ELISSA PAVESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC1072
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11627398
CAQH ID
CO
Enumeration date
12/28/2006
Last updated
07/08/2007
Update your record
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