Jeanine Ten Broeck, LPC Valid NPI
Individual provider · Professional Counselor · Crestone, CO
- NPI
- 1154585974
- Type
- Individual (Type 1)
- Primary specialty
- Professional Counselor (Counselor)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101YP2500X
- License number
- 5924 (CO)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2008-07-10
- Last updated
- 2024-11-20
Practice location
2760 N Carefree Way
Crestone, CO 80229
(970) 844-5570