Individual
JEFFREY VANLANDINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
711 BARNES AVE, LA JUNTA, CO 81050-2138
(719) 384-5446
(719) 384-5672
Mailing address
1632 EUCLID AVE, PUEBLO, CO 81004-2710
(719) 384-2942
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/22/2007
Last updated
07/08/2007
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