Individual
MS. CAROL THAYER JAQUES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., LPC, CACIII
Contact information
Practice address
395 E LIONSHEAD CIR, VAIL, CO 81657-5354
(970) 476-0930
(970) 476-0535
Mailing address
PO BOX 40, GLENWOOD SPRINGS, CO 81602-0040
(970) 945-2241
(970) 945-5523
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ACC-6699
CO
101YP2500X
Professional Counselor
Primary
5758
CO
Other
Enumeration date
10/30/2008
Last updated
07/26/2010
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