Vandenbovenkamp, Jacqueline Sue

Vandenbovenkamp, Jacqueline Sue is an sole proprietor health care provider with primary practice located at 4500 19Th St Lot 190, Boulder CO 80304-0613. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Art Therapist. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Vandenbovenkamp, Jacqueline Sue can be contacted via phone (303) 641-2718.

Contact Information

Primary practice address
4500 19Th St Lot 190 Boulder CO 80304-0613
Phone: (303) 641-2718
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 3918 Colorado
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Art Therapist 221700000X 05-132

Profile Details

NPI number 1659588101
LBN Legal business name Vandenbovenkamp, Jacqueline Sue
Credentials MA-LPC-ATR
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 16th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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