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Organization

INGRID VAN HAITSMA COUNSELING LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
INGRID VAN HAITSMA (OWNER/THERAPIST)
(616) 915-8203
Entity
Organization

Contact information

Practice address
702 10TH AVE STE 2, LONGMONT, CO 80501-4536
(720) 893-1683
Mailing address
44 POWDER HORN PL, LONGMONT, CO 80504-1233
(616) 915-8203

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
09/13/2024
Last updated
09/13/2024
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