| Venture Into Connection Pllc | |
|
104 N Harrison Ave Unit A Lafayette CO 80026-2310 | |
| (720) 378-4325 | |
| Not Available |
| Full Name | Venture Into Connection Pllc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 104 N Harrison Ave Unit A, Lafayette, Colorado |
| Authorized Official Name and Position | Kristin J Van Der Poel (FOUNDER/OWNER) |
| Authorized Official Contact | 7203784325 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Venture Into Connection Pllc 104 N Harrison Ave Unit A Lafayette CO 80026-2310 Ph: (720) 378-4325 | Venture Into Connection Pllc 104 N Harrison Ave Unit A Lafayette CO 80026-2310 Ph: (720) 378-4325 |
| NPI Number | 1902420649 |
|---|---|
| Provider Enumeration Date | 05/28/2020 |
| Last Update Date | 08/21/2020 |
| Certification Date | 08/21/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902420649 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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