MEDICARE: DR. ELIZABETH A WARSON PHD, ATR-BC, LPC,

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	2199	CO
2	101YP2500X	Professional Counselor	2199	CO

General Provider Information

NPI Number	:	1699106179
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ELIZABETH A WARSON PHD, ATR-BC, LPC,

Provider Business Mailing Address
First Line	:	508 SUNDOWN CT
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80525-4029
Country	:	US
Telephone Number	:	970-222-4674
Fax Number	:	888-451-4803

Provider Business Practice Location Address
First Line	:	14943 HIGHWAY 14
Second Line	:
City	:	AULT
State	:	CO
Zip	:	80610-9711
Country	:	US
Telephone Number	:	970-222-4674
Fax Number	:	888-451-4803

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/09/2013
Last Update Date	:	02/15/2025

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