Healthcare Provider Details

I. General information

NPI: 1194645994
Provider Name (Legal Business Name): ELENA MARGARETA BUSE SNITZER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7627 W 54TH AVE
ARVADA CO
80002-3640
US

IV. Provider business mailing address

7627 W 54TH AVE APT 203
ARVADA CO
80002-3643
US

V. Phone/Fax

Practice location:
  • Phone: 909-600-9883
  • Fax:
Mailing address:
  • Phone: 909-600-9883
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMFTC.0014985
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: