Elissa Marie Mendieta, LAC

NPI #1225884125 in Palmer Lake, Colorado

Provider Information

NPI Number
1225884125
Entity Type
Individual
Name
Elissa Marie Mendieta, LAC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Credential
LAC
Enumeration Date
Apr 30, 2024
Last Updated
May 13, 2024

Practice Location

Address
443 HIGHWAY 105
ZIP Code
80133-9003
Phone
(719) 955-1800

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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