Healthcare Provider Details

I. General information

NPI: 1346466828
Provider Name (Legal Business Name): ELIZABETH L DUFEK MA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/17/2007
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

361 PALMER ST
DELTA CO
81416-1735
US

IV. Provider business mailing address

941 WILLOW WOOD LN
DELTA CO
81416-3055
US

V. Phone/Fax

Practice location:
  • Phone: 970-209-6639
  • Fax:
Mailing address:
  • Phone: 360-795-0304
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPC.0006422
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: