Individual provider · Type 1 NPI

Carol Thayer Jaques, M.S., LPC, CACIII

Professional Counselor · Vail, CO

NPI number 1548413859 Active

Practice location

395 E Lionshead Cir
Vail, CO 81657-5354

Call (970) 476-0930 Map

Fax (970) 476-0535

Mailing address

PO Box 40
Glenwood Springs, CO 81602-0040

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XACC-6699 (CO)
Professional Counselor Primary 101YP2500X5758 (CO)

Professional Counselor: Definition to come...

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About NPI 1548413859

Carol Thayer Jaques, M.S., LPC, CACIII's National Provider Identifier is 1548413859, issued on Oct 30, 2008. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Vail, CO. The record was last updated on Jul 26, 2010.