Van Haitsma, Ingrid

Van Haitsma, Ingrid is an individual health care provider with primary practice located at 500 Coffman St Ste 204 , Longmont CO 80501-5445. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Van Haitsma, Ingrid can be contacted via phone (720) 893-1683.

Contact Information

Primary practice address
500 Coffman St Ste 204 Longmont CO 80501-5445
Phone: (720) 893-1683
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 09928389 Colorado
Behavioral Health & Social Service Providers / Social Worker 104100000X

Profile Details

NPI number 1760930499
LBN Legal business name Van Haitsma, Ingrid
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2016
Last updated Sep 13th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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