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Individual
JACOB VANDER LEEST
Active
Individual
JACOB VANDER LEEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
,MACP, ADDC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ADDC.0000803
CO
101YM0800X
Mental Health Counselor
—
NULL
Other
Enumeration date
04/10/2025
Last updated
08/27/2026
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