Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ELISSA MARIE MENDIETA, LAC
Active Sole ProprietorELISSA MARIE MENDIETA, LAC is a Addiction (Substance Use Disorder) Counselor healthcare provider located in PALMER LAKE, Colorado. NPI 1225884125 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · PALMER LAKE, CO
Registration Details
- NPI Number
- 1225884125
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 30, 2024 (2.2871459049825 yrs)
- Last Updated
- May 13, 2024
- License
-
ACD.0002478 (CO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
443 HIGHWAY 105PALMER LAKE, CO, 801339003Browse CO providers · Browse ZIP 80133
- Phone
- 7199551800
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in PALMER LAKE, CO
| Name | Credential | NPI |
|---|---|---|
| CYNTHIA WHITE | MS, LAC | 1760998892 |
| ANTHONY RODENBAUGH | — | 1043841877 |
| DAVID ROBINSON | CAS 6388 | 1538946363 |
| KAYLEE BURTON | — | 1316899669 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.