Individual
DEREK GABRIEL CERVANTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1611 S MURRAY BLVD, COLORADO SPRINGS, CO 80916-4502
(719) 640-7089
Mailing address
1611 S MURRAY BLVD, COLORADO SPRINGS, CO 80916-4502
(719) 640-7089
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
LPCC.0019910
CO
Other
Enumeration date
11/13/2024
Last updated
11/13/2024
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