Individual
JACQUIE INELL VAN HORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1355 S COLORADO BLVD, SUITE C-100, DENVER, CO 80222-3305
(303) 756-9052
Mailing address
8005 MONTVIEW BLVD, DENVER, CO 80238-4204
(970) 633-0356
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
NLC.0105283
CO
Other
Enumeration date
04/05/2017
Last updated
04/05/2017
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