Individual
KALEN DEREMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 4TH AVE, LONGMONT, CO 80501-5609
(970) 769-3955
Mailing address
1 4TH AVE, LONGMONT, CO 80501-5609
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0022258
CO
Other
Enumeration date
08/14/2024
Last updated
08/14/2024
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