person
Derrick Shain, PSYCHOTHERAPIST
Mental Health Counselor in Boulder, Colorado
NPI 1740879410

Derrick Shain is a Mental Health Counselor based in Longmont, CO and is specialized in Mental Health. Derrick Shain practices in Boulder, CO and has the professional credentials of PSYCHOTHERAPIST. The NPI Number for Derrick Shain is 1740879410 and holds a License No. (Colorado).

The current practice location address for Derrick Shain is 1650 38Th St Ste 100E, Boulder, CO and can be reached out via phone at 660-383-2641.

Location: 1650 38Th St Ste 100E, Boulder, CO, 80503-8966
person
Provider Profile Details
NPI Number
1740879410
Provider Name
Derrick Shain
Credential
PSYCHOTHERAPIST
Provider Entity Type
Individual
Gender
Male
Address
1650 38Th St Ste 100E, Boulder, CO, 80503-8966
Phone Number
660-383-2641
Fax Number
Provider Enumeration Date
01/15/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1650 38Th St Ste 100E
City
State
Zip
80301-2624
Phone Number
660-383-2641
Fax Number
person
Provider Business Mailing Address Details
Address
1650 38Th St Ste 100E
City
State
Zip
80301-2624
Phone Number
660-383-2641
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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