Individual
DEBORAH DIANA GILLESPIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPCC, NCC
Contact information
Practice address
711 BARNES AVE, LA JUNTA, CO 81050-2138
(800) 511-5446
Mailing address
3950 CHARRO DR, COLORADO SPRINGS, CO 80911-3446
(303) 688-6407
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC.0014047
CO
Other
Enumeration date
05/31/2016
Last updated
05/03/2018
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