Elissa Marie Mendieta, LAC Valid NPI

Individual provider · Addiction (Substance Use Disorder) Counselor · Palmer Lake, CO

NPI

1225884125

Type

Individual (Type 1)

Primary specialty

Addiction (Substance Use Disorder) Counselor (Counselor)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

101YA0400X

License number

ACD.0002478 (CO)

Sex

Female

Sole proprietor

Yes

Enumerated

2024-04-30

Last updated

2024-05-13