Elisa Joy Lewis Johnson
Counselor, Professional in Fort Collins, CO. Individual provider (NPI-1).
NPI number1982243416
StatusActive
Last updated in NPPESJan 25, 2022
Details
- NPI
- 1982243416
- Entity type
- Individual (NPI-1)
- Name
- Elisa Joy Lewis Johnson
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 1, 2020
- Certification date
- Jan 25, 2022
- Last updated
- Jan 25, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 0017936 | CO | Yes |
| 101Y00000X | Counselor | LPCC.001735 | CO |
Practice location
300 E Horsetooth Rd Ste 200Fort Collins, CO 80525-3154
Phone 970-236-6317
Mailing address
300 E Horsetooth Rd Ste 200Fort Collins, CO 80525-3154
Phone 970-236-6317
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