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Individual

ALICE ANNE BOERTJE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, LPC, NCC

Contact information

Practice address
128 S TEJON ST STE 405, COLORADO SPRINGS, CO 80903-2212
(312) 369-9422
(719) 755-4662
Mailing address
128 S TEJON ST STE 405, COLORADO SPRINGS, CO 80903-2212
(312) 369-9422
(719) 755-4662

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
180.014114
IL
101YM0800X
Mental Health Counselor
Primary
LPC.0019250
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
180.014114
LCPC
IL
01
LPC.0019250
STATE BOARD OF LICENSED PROFESSIONAL COUNSELING EXAMINERS
CO
Enumeration date
10/09/2019
Last updated
11/10/2025
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