Individual
ELISSA PAVESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA LPC
Contact information
Practice address
165 COOK STREET, #100, DENVER, CO 80206-5308
(303) 321-0738
(303) 979-0360
Mailing address
165 COOK STREET, #100, DENVER, CO 80206-5308
(303) 321-0738
(303) 979-0360
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
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