Provider Demographics
NPI:1568265353
Name:ELSON, EDEN ARI (LPCC, ADDC)
Entity type:Individual
Prefix:
First Name:EDEN
Middle Name:ARI
Last Name:ELSON
Suffix:
Gender:
Credentials:LPCC, ADDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:655 TRINITY WAY UNIT E
Mailing Address - Street 2:
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81505-1627
Mailing Address - Country:US
Mailing Address - Phone:303-358-3344
Mailing Address - Fax:
Practice Address - Street 1:655 TRINITY WAY UNIT E
Practice Address - Street 2:
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81505-1627
Practice Address - Country:US
Practice Address - Phone:303-358-3344
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-28
Last Update Date:2025-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO272101YA0400X
CO21369101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)