Provider Demographics
NPI:1033659628
Name:FELHAUER, VANESSA (NCC)
Entity Type:Individual
Prefix:
First Name:VANESSA
Middle Name:
Last Name:FELHAUER
Suffix:
Gender:F
Credentials:NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3413 PEMBROKE ST
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80526-2300
Mailing Address - Country:US
Mailing Address - Phone:970-481-5818
Mailing Address - Fax:
Practice Address - Street 1:3413 PEMBROKE ST
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80526-2300
Practice Address - Country:US
Practice Address - Phone:970-481-5818
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-01
Last Update Date:2017-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPCC.0013492101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health