Individual
JASON DEABUENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW
Contact information
Practice address
1625 S MURRAY BLVD, COLORADO SPRINGS, CO 80916-4502
(719) 884-2310
Mailing address
1570 PROMONTORY BLUFF VW, COLORADO SPRINGS, CO 80921-3949
(719) 572-6100
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
992616
CO
Other
Enumeration date
04/18/2007
Last updated
06/10/2019
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