Provider Demographics
NPI:1043844624
Name:FRONT RANGE TRANSITIONS COUNSELING & CONSULTATION
Entity type:Organization
Organization Name:FRONT RANGE TRANSITIONS COUNSELING & CONSULTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:JILL
Authorized Official - Last Name:VAN ZUIDEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-800-8085
Mailing Address - Street 1:645 GRANDVIEW MDWS DR
Mailing Address - Street 2:
Mailing Address - City:LONGMONT
Mailing Address - State:CO
Mailing Address - Zip Code:80503-9440
Mailing Address - Country:US
Mailing Address - Phone:847-800-8085
Mailing Address - Fax:
Practice Address - Street 1:645 GRANDVIEW MDWS DR
Practice Address - Street 2:
Practice Address - City:LONGMONT
Practice Address - State:CO
Practice Address - Zip Code:80503-9440
Practice Address - Country:US
Practice Address - Phone:847-800-8085
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-23
Last Update Date:2020-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty