Individual
ELISA JOY LEWIS JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
300 E HORSETOOTH RD STE 200, FORT COLLINS, CO 80525-3154
(970) 236-6317
Mailing address
300 E HORSETOOTH RD STE 200, FORT COLLINS, CO 80525-3154
(970) 236-6317
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LPCC.001735
CO
101YP2500X
Professional Counselor
Primary
0017936
CO
Other
Enumeration date
01/01/2020
Last updated
01/25/2022
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