JEFFREY DERRY, LPC
Counselor - Professional
Active
Individual
NPI: 1528359734
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Mental Health | 101YM0800X | No | 2009024349 (MO) |
| Counselor - Professional | 101YP2500X | Yes | LPC.0003637 (CO) |
Frequently Asked Questions
NPI 1528359734 is the National Provider Identifier for JEFFREY DERRY, LPC, a Counselor - Professional provider located in Fountain, CO. This NPI was enumerated on April 21, 2011.
JEFFREY DERRY, LPC practices at 350 LYCKMAN PL, Fountain, CO 80817.
Quick Facts
- NPI
- 1528359734
- Type
- Individual
- Enumerated
- Apr 21, 2011
- Last Updated
- Mar 21, 2018
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