KATHLEEN DEHERRERA NPI 1164817615

NPI Information

NPI: 1164817615
Provider Name: KATHLEEN DEHERRERA
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
11027 S PIKES PEAK DR
PARKER, CO
ZIP 80138
Phone: (330) 807-4509
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Kathleen Deherrera is an addiction (substance use disorder) counselor in Parker, CO. Kathleen Deherrera NPI is 1164817615. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

11027 S PIKES PEAK DR
PARKER, CO
ZIP 80138-356
Phone: (330) 807-4509

The enumeration date for this NPI number is 4/1/2015 and was last updated on 4/1/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	ACD.0000138	COLORADO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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