Individual
COLLEEN JANE TEN EYCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC, LCSW
Contact information
Practice address
1075 S YUKON ST STE 220, LAKEWOOD, CO 80226-4346
(303) 351-1799
Mailing address
3092 S IVAN WAY, DENVER, CO 80227-3838
(815) 575-1899
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ACD.0000818
CO
1041C0700X
Clinical Social Worker
Primary
CSW.09925784
CO
Other
Enumeration date
03/13/2017
Last updated
01/17/2025
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