Individual
JAY VANDERWERFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW, LAC
Contact information
Practice address
2555 MIDPOINT DR, SUITE A, FORT COLLINS, CO 80525-4425
(970) 498-7493
Mailing address
525 W OAK ST, FORT COLLINS, CO 80521-2612
(970) 498-7493
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ACD.0000765
CO
1041C0700X
Clinical Social Worker
Primary
CSW.09924776
CO
Other
Enumeration date
09/23/2013
Last updated
03/31/2017
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