Individual provider · Type 1 NPI
Matthew Jaeckel, LCSW
Mental Health Counselor · Boulder, CO
NPI number
1649420993
Active
Practice location
1333 Iris Ave
Boulder, CO 80304-2226
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker | 1041C0700X | 1066 (CO) |
| Mental Health Counselor Primary | 101YM0800X | 1066 (CO) |
Mental Health Counselor: Definition to come...
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Other mental health counselor providers in Boulder
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- Lynne Marie Andrade, MA, LPCC, NCCMental Health Counselor Boulder, CO NPI 1003287541
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About NPI 1649420993
Matthew Jaeckel, LCSW's National Provider Identifier is 1649420993, issued on Sep 23, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Boulder, CO. The record was last updated on Aug 13, 2012.