Individual provider · Type 1 NPI

Jacob Vander Leest, MACP, ADDC

Addiction (Substance Use Disorder) Counselor · Fort Collins, CO

NPI number 1407641475 Active

Practice location

3000 S College Ave Unit 202
Fort Collins, CO 80525-2558

Call (970) 221-4057 Map

Mailing address

1437 Denver Ave # 325
Loveland, CO 80538-5226

Other practice locations

  • 3001 Taft Ave Ste 120, Loveland, CO 80538-8307 · (970) 663-2900
  • 1601 25th Ave, Greeley, CO 80634-4907 · (970) 378-8805

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XADDC.0000803 (CO)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1407641475

Jacob Vander Leest, MACP, ADDC's National Provider Identifier is 1407641475, issued on Apr 10, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fort Collins, CO. The record was last updated on Aug 27, 2026.