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NPI Code Detail

MEDICARE: CRAIG PATRICK VANHOUTTE LPC

MEDICARE:   CRAIG PATRICK VANHOUTTE  LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional CounselorLPC.0020264CO
2101YM0800XMental Health CounselorLPC.0020264CO

General Provider Information

NPI Number : 1245761170
Entity Type Code : Individual
Provider Name (Legal Business Name) : CRAIG PATRICK VANHOUTTE LPC
Provider Business Mailing Address
First Line : 12303 AIRPORT WAY STE 125
Second Line :
City : BROOMFIELD
State : CO
Zip : 80021-2729
Country : US
Telephone Number : 970-310-3406
Fax Number :
Provider Business Practice Location Address
First Line : 12303 AIRPORT WAY STE 125
Second Line :
City : BROOMFIELD
State : CO
Zip : 80021-2729
Country : US
Telephone Number : 720-726-9880
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2017
Last Update Date : 06/26/2025

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Directions to “ CRAIG PATRICK VANHOUTTE LPC” Practice Location

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