Individual
HARLEY COLE DESHAZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA, CACII
Contact information
Practice address
14901 E HAMPDEN AVE STE 100, AURORA, CO 80014-5037
(720) 542-9740
Mailing address
14901 E HAMPDEN AVE STE 100, AURORA, CO 80014-5037
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ACC.0998500
CO
Other
Enumeration date
01/14/2021
Last updated
01/14/2021
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