person
Jeffrey David Derry, LPC
Professional Counselor in Fountain, Colorado
NPI 1528359734

Jeffrey David Derry is a Professional Counselor based in Colorado Springs, CO and is specialized in Professional. Jeffrey David Derry practices in Fountain, CO and has the professional credentials of LPC. The NPI Number for Jeffrey David Derry is 1528359734 and holds a License No. 2009024349 (Colorado).

The current practice location address for Jeffrey David Derry is 350 Lyckman Pl, Fountain, CO and can be reached out via phone at 719-632-5700.

Location: 350 Lyckman Pl, Fountain, CO, 80917-5152
person
Provider Profile Details
NPI Number
1528359734
Provider Name
Jeffrey David Derry
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
350 Lyckman Pl, Fountain, CO, 80917-5152
Phone Number
719-632-5700
Fax Number
Provider Enumeration Date
04/21/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
350 Lyckman Pl
City
State
Zip
80817-2861
Phone Number
719-632-5700
Fax Number
person
Provider Business Mailing Address Details
Address
350 Lyckman Pl
City
State
Zip
80817-2861
Phone Number
719-632-5700
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
LPC.0003637 (Colorado)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
2009024349 (Missouri)
Definition
Definition to come...
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