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Mrs. Jacqueline Suzanne Hendrickson
Adolescent and Children Mental Health Clinic/Center in Fort Collins, Colorado
NPI 1912248394

Jacqueline Suzanne Hendrickson is an Adolescent and Children Mental Health Clinic/Center based in Fort Collins, CO and is specialized in Adolescent and Children Mental Health. Jacqueline Suzanne Hendrickson practices in Fort Collins, CO. The NPI Number for Jacqueline Suzanne Hendrickson is 1912248394 and holds a License No. 13683 (Colorado).

The current practice location address for Jacqueline Suzanne Hendrickson is 1740 S College Ave, Fort Collins, CO and can be reached out via phone at 970-472-1207.

Location: 1740 S College Ave, Fort Collins, CO, 80525-1009
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912248394
Provider Name
Jacqueline Suzanne Hendrickson
Credential
Provider Entity Type
Individual
Gender
Female
Address
1740 S College Ave, Fort Collins, CO, 80525-1009
Phone Number
970-472-1207
Fax Number
Provider Enumeration Date
03/08/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1740 S College Ave
City
Fort Collins
State
Colorado
Zip
80525-1009
Phone Number
970-472-1207
Fax Number
person
Provider Business Mailing Address Details
Address
1740 S College Ave
City
Fort Collins
State
Colorado
Zip
80525-1009
Phone Number
970-472-1207
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
13683 (Colorado)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
13683 (Colorado)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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