Individual provider · Type 1 NPI

Elene Kvernadze

Mental Health Counselor · Fort Collins, CO

NPI number 1336022011 Active

Practice location

2002 Battlecreek Dr Apt 3101
Fort Collins, CO 80528-6247

Call (970) 430-6220 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XSWC.0000000551 (CO)

Mental Health Counselor: Definition to come...

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About NPI 1336022011

Elene Kvernadze's National Provider Identifier is 1336022011, issued on Jul 29, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fort Collins, CO. The record was last updated on Aug 19, 2025.