Individual
BRANDY PENELOPE VANDERBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1333 IRIS AVE, BOULDER, CO 80304-2226
(303) 245-4400
Mailing address
1001 E 62ND AVE, APT 146, DENVER, CO 80216-1104
(720) 276-0778
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/21/2015
Last updated
07/29/2015
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