Provider Demographics
NPI:1285775452
Name:KINKELAAR, BARBARA K (LPC, LAC, NCAC II)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:K
Last Name:KINKELAAR
Suffix:
Gender:F
Credentials:LPC, LAC, NCAC II
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:940 COLORADO AVE
Mailing Address - Street 2:
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81501-3519
Mailing Address - Country:US
Mailing Address - Phone:970-210-1544
Mailing Address - Fax:
Practice Address - Street 1:940 COLORADO AVE
Practice Address - Street 2:
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81501-3519
Practice Address - Country:US
Practice Address - Phone:970-210-1544
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-09
Last Update Date:2020-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO55101YA0400X
CO1914101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)