Individual
BREANNA VANDENBOSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3000 S COLLEGE AVE UNIT 202, FORT COLLINS, CO 80525-2558
(970) 221-4057
Mailing address
1437 DENVER AVE # 325, LOVELAND, CO 80538-5226
(970) 221-4057
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
LSW.0009924977
CO
Other
Enumeration date
08/23/2023
Last updated
07/24/2024
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