Individual
JOHN VANDERSCOFF EISEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
2111 CHAMPA ST, DENVER, CO 80205-2529
(303) 568-9231
Mailing address
2111 CHAMPA ST, DENVER, CO 80205-2529
(303) 312-9601
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
3819
CO
101YM0800X
Mental Health Counselor
MH6106
FL
Other
Enumeration date
02/13/2007
Last updated
07/20/2020
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