Provider Demographics
NPI:1285081448
Name:VANEK, BROOKE (MA, LPC, NCC)
Entity type:Individual
Prefix:MRS
First Name:BROOKE
Middle Name:
Last Name:VANEK
Suffix:
Gender:F
Credentials:MA, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6000 E EVANS AVE
Mailing Address - Street 2:STE 1-255
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80222-5406
Mailing Address - Country:US
Mailing Address - Phone:720-277-6125
Mailing Address - Fax:720-763-9669
Practice Address - Street 1:6000 E EVANS AVE
Practice Address - Street 2:STE 1-255
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80222-5406
Practice Address - Country:US
Practice Address - Phone:720-277-6125
Practice Address - Fax:720-763-9669
Is Sole Proprietor?:No
Enumeration Date:2016-05-18
Last Update Date:2016-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CONLC:0013934101Y00000X
COLPC:0013253101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor