Provider Demographics
NPI:1003665209
Name:JIRON, ELIZABETH ERIN (LPC)
Entity type:Individual
Prefix:MISS
First Name:ELIZABETH
Middle Name:ERIN
Last Name:JIRON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MISS
Other - First Name:BETSY
Other - Middle Name:ERIN
Other - Last Name:JIRON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPC
Mailing Address - Street 1:1209 STANTON CREEK DR
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80525-9448
Mailing Address - Country:US
Mailing Address - Phone:970-218-9208
Mailing Address - Fax:
Practice Address - Street 1:1209 STANTON CREEK DR
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80525-9448
Practice Address - Country:US
Practice Address - Phone:970-218-9208
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-18
Last Update Date:2024-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CONLC0109519101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health