Provider Demographics
NPI:1518591577
Name:KRONMILLER, ELENA
Entity Type:Individual
Prefix:
First Name:ELENA
Middle Name:
Last Name:KRONMILLER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2755 W 36TH AVE
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80211-2816
Mailing Address - Country:US
Mailing Address - Phone:651-815-5106
Mailing Address - Fax:
Practice Address - Street 1:7114 W JEFFERSON AVE STE 396
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80235-2354
Practice Address - Country:US
Practice Address - Phone:651-815-5106
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-28
Last Update Date:2020-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC.0016008101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health