Provider Demographics
NPI:1306919220
Name:NEVERS, ELIZABETH EILEEN (LPC, LCMFT)
Entity type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:EILEEN
Last Name:NEVERS
Suffix:
Gender:F
Credentials:LPC, LCMFT
Other - Prefix:MS
Other - First Name:EILEEN
Other - Middle Name:
Other - Last Name:NEVERS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC, LCMFT
Mailing Address - Street 1:8034 ANCHOR DR
Mailing Address - Street 2:
Mailing Address - City:LONGMONT
Mailing Address - State:CO
Mailing Address - Zip Code:80504-7769
Mailing Address - Country:US
Mailing Address - Phone:913-206-3830
Mailing Address - Fax:
Practice Address - Street 1:4790 TABLE MESA DR
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80305-5600
Practice Address - Country:US
Practice Address - Phone:720-428-9240
Practice Address - Fax:913-438-3881
Is Sole Proprietor?:No
Enumeration Date:2006-11-16
Last Update Date:2018-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS042106H00000X
CO0013512101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist