Ms Jacqueline Sue Vandenbovenkamp, MA-LPC-ATR is a
Art Therapist based in Boulder, Colorado. Ms Jacqueline Sue Vandenbovenkamp is licensed to practice in * (Not Available) (license number 05-132) and her current practice location is
4500 19th St, Lot 190, Boulder, Colorado. She can be reached at her office (for appointments etc.) via phone at
(303) 641-2718.
NPI number for Ms Jacqueline Sue Vandenbovenkamp is 1659588101 and her current mailing address is 4500 19th St, Lot 190, Boulder, Colorado. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1659588101.
Healthcare Provider's Profile
| Full Name | Ms Jacqueline Sue Vandenbovenkamp |
|---|
| Gender | Female |
|---|
| Speciality | Art Therapist |
|---|
| Location | 4500 19th St, Boulder, Colorado |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1659588101
- Provider Enumeration Date: 05/16/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Ms Jacqueline Sue Vandenbovenkamp such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1659588101 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | 3918 (Colorado) | Primary |
| 221700000X | Art Therapist | 05-132 (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Jacqueline Sue Vandenbovenkamp is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Jacqueline Sue Vandenbovenkamp, MA-LPC-ATR
4500 19th St, Lot 190,
Boulder, CO 80304-0613
Ph: (303) 641-2718 | Ms Jacqueline Sue Vandenbovenkamp, MA-LPC-ATR
4500 19th St, Lot 190,
Boulder, CO 80304-0613
Ph: (303) 641-2718 |
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