Individual
CHARLES DESHAZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
20 S 5TH AVE, SUITE D, BRIGHTON, CO 80601-2178
(303) 655-9276
Mailing address
20 S 5TH AVE, SUITE D, BRIGHTON, CO 80601-2178
(303) 655-9276
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
10/22/2010
Last updated
10/22/2010
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