Individual
ELLI VANDERJAGT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
,BS
Contact information
Practice address
1601 25TH AVE, GREELEY, CO 80634-4907
(970) 378-8805
Mailing address
1437 DENVER AVE # 325, LOVELAND, CO 80538-5226
(970) 378-8805
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
CO
Other
Enumeration date
01/08/2026
Last updated
01/08/2026
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