Provider Demographics
NPI:1407193956
Name:VAN BEKKUM, ANNE ELISE (MA)
Entity type:Individual
Prefix:MRS
First Name:ANNE ELISE
Middle Name:
Last Name:VAN BEKKUM
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:LIES
Other - Middle Name:
Other - Last Name:VAN BEKKUM
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2500 SOUTH YORK STREET.
Mailing Address - Street 2:APT. # 212
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80210-5245
Mailing Address - Country:US
Mailing Address - Phone:720-917-8323
Mailing Address - Fax:
Practice Address - Street 1:2460 S VINE ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80210-5264
Practice Address - Country:US
Practice Address - Phone:303-871-3736
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-03
Last Update Date:2013-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health