Individual
STEPHANIE MARIE VAN JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LAC
Contact information
Practice address
9485 W COLFAX AVE, LAKEWOOD, CO 80215-3918
(303) 425-0300
Mailing address
145 MAIN ST, BROOMFIELD, CO 80020-2329
(720) 338-3796
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/07/2015
Last updated
09/11/2025
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