Provider Demographics
NPI:1265865588
Name:VAN LINDEN, ANNEMIE (LPC, LAC)
Entity Type:Individual
Prefix:
First Name:ANNEMIE
Middle Name:
Last Name:VAN LINDEN
Suffix:
Gender:F
Credentials:LPC, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6907 S SPRUCE DR W
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80112-1222
Mailing Address - Country:US
Mailing Address - Phone:720-301-8071
Mailing Address - Fax:
Practice Address - Street 1:5944 S KIPLING PKWY STE 360
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80127-5557
Practice Address - Country:US
Practice Address - Phone:720-301-8071
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-11
Last Update Date:2022-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COACD.0001611101YA0400X
101YM0800X
COLPC.0013410103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health