| Deardorff Llc | |
|
1843 Austin Bluffs Pkwy Colorado Springs CO 80918-7857 | |
| (719) 400-8578 | |
| (936) 271-4968 |
| Full Name | Deardorff Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1843 Austin Bluffs Pkwy, Colorado Springs, Colorado |
| Authorized Official Name and Position | Jana Deardorff (OWNER) |
| Authorized Official Contact | 7194008578 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Deardorff Llc 1843 Austin Bluffs Pkwy Colorado Springs CO 80918-7857 Ph: (719) 400-8578 | Deardorff Llc 1843 Austin Bluffs Pkwy Colorado Springs CO 80918-7857 Ph: (719) 400-8578 |
| NPI Number | 1801411681 |
|---|---|
| Provider Enumeration Date | 06/08/2020 |
| Last Update Date | 06/08/2020 |
| Certification Date | 06/08/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801411681 | NPI | - | NPPES |
| 1007 | Other | CO | 1407940919 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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