| Jeanine Ten Broeck, LPC | |
|
2760 N Carefree Way, Crestone, CO 80229 | |
| (970) 844-5570 | |
| Not Available |
| Full Name | Jeanine Ten Broeck |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 2760 N Carefree Way, Crestone, Colorado |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154585974 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 5924 (Colorado) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jeanine Ten Broeck, LPC Po Box 631, Crestone, CO 81131-0631 Ph: (970) 844-5570 | Jeanine Ten Broeck, LPC 2760 N Carefree Way, Crestone, CO 80229 Ph: (970) 844-5570 |
Mr. James Michael Sheeran, M.A., L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 171 Alder St., Crestone, CO 81131 Phone: 719-588-9637 Fax: 719-256-5890 | |
Elizabeth J Gordon, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1008 E Badger Rd, Crestone, CO 81131 Phone: 720-442-1999 |