| Ingrid Van Haitsma Counseling Llc | |
|
500 Coffman St Ste 204 Longmont CO 80501-5445 | |
| (720) 893-1683 | |
| Not Available |
| Full Name | Ingrid Van Haitsma Counseling Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 500 Coffman St Ste 204, Longmont, Colorado |
| Authorized Official Name and Position | Ingrid Van Haitsma (THERAPIST/OWNER) |
| Authorized Official Contact | 6169158203 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ingrid Van Haitsma Counseling Llc 44 Powder Horn Pl # 204 Longmont CO 80504-1233 Ph: (616) 915-8203 | Ingrid Van Haitsma Counseling Llc 500 Coffman St Ste 204 Longmont CO 80501-5445 Ph: (720) 893-1683 |
| NPI Number | 1215764360 |
|---|---|
| Provider Enumeration Date | 09/13/2024 |
| Last Update Date | 09/13/2024 |
| Certification Date | 09/13/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215764360 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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