Individual
JACIE VANDERLOO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
6312 S FIDDLERS GREEN CIR STE 300E, GREENWOOD VILLAGE, CO 80111-4831
(720) 706-1119
Mailing address
6312 S FIDDLERS GREEN CIR STE 300E, GREENWOOD VILLAGE, CO 80111-4831
(720) 706-1119
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
0020166
CO
101YP2500X
Professional Counselor
Primary
0021708
CO
Other
Enumeration date
11/02/2022
Last updated
07/08/2025
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