Individual
ETHAN VANDERLINDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5665 CEDAR CREEK VW APT 205, COLORADO SPRINGS, CO 80915-5034
(719) 654-2039
Mailing address
5665 CEDAR CREEK VW APT 205, COLORADO SPRINGS, CO 80915-5034
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
CO
Other
Enumeration date
12/30/2025
Last updated
12/30/2025
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