Jeffrey David Derry, LPC

NPI #1528359734 in Fountain, Colorado

Provider Information

NPI Number
1528359734
Entity Type
Individual
Name
Jeffrey David Derry, LPC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Professional
Credential
LPC
Enumeration Date
Apr 21, 2011
Last Updated
Mar 21, 2018

Practice Location

Address
350 LYCKMAN PL
ZIP Code
80817-2861
Phone
(719) 632-5700

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health
Counselor - ProfessionalProfessional

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