Doctor Name: | MS. ELIZABETH L BROTHERS |
NPI Number: | 1043412422 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MT, MA, LPC |
License Number: | 4620 |
Business Practice Address: | 619 Main St Suite 3c Frisco, CO - 80443 |
Business Phone Number: | 9704853956 |
Business Fax Number: | |
Mailing Address: | Po Box 6243, BRECKENRIDGE |
State: | CO |
Postal Code: | 804246243 |
Phone Number: | 9704853956 |
Fax Number: | |
NPI Enumeration Date: | 06/05/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 4620 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |