Individual
KARI VANDERBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 VESTA RD, SALIDA, CO 81201-9327
(719) 539-6502
Mailing address
111 VESTA RD, SALIDA, CO 81201-9327
(719) 539-6502
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC.0017629
CO
103K00000X
Behavior Analyst
CG60628942
WA
Other
Enumeration date
01/27/2016
Last updated
09/29/2021
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