Individual provider · Type 1 NPI
Jeanine Ten Broeck, LPC
Professional Counselor · Crestone, CO
NPI number
1154585974
Active
Practice location
2760 N Carefree Way
Crestone, CO 80229
Mailing address
PO Box 631
Crestone, CO 81131-0631
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 5924 (CO) |
Professional Counselor: Definition to come...
Other professional counselor providers in Crestone
- James Michael Sheeran, M.A., L.P.C.Professional Counselor Crestone, CO NPI 1003128737
- Jessica Blue Sky Vigil, LPCProfessional Counselor Crestone, CO NPI 1386911303
- Teresa D. Keller, MAProfessional Counselor Crestone, CO NPI 1760530323
- Michelle Christine Davis, LPCProfessional Counselor Crestone, CO NPI 1982166773
About NPI 1154585974
Jeanine Ten Broeck, LPC's National Provider Identifier is 1154585974, issued on Jul 10, 2008. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Crestone, CO. The record was last updated on Nov 20, 2024.