Rena Susan Derezin, M.A., L.P.C., N.C.C.
NPI #1790923670 in Black Hawk, Colorado
Provider Information
- NPI Number
- 1790923670
- Entity Type
- Individual
- Name
- Rena Susan Derezin, M.A., L.P.C., N.C.C.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Credential
- M.A., L.P.C., N.C.C.
- Enumeration Date
- Jan 30, 2009
- Last Updated
- Aug 25, 2009
Practice Location
- Address
- 135 CLEAR CREEK STREET
- City
- Black Hawk
- State
- Colorado
- ZIP Code
- 80422-0418
- Phone
- (303) 807-2750
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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