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Individual

CATHY R DESCHAINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
3205 N ACADEMY BLVD STE 130, COLORADO SPRINGS, CO 80917-5152
(719) 344-7112
(719) 344-7821
Mailing address
10042 PRIMA RUN PL, COLORADO SPRINGS, CO 80924-5318
(719) 243-2860

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
379
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
379
DORA
CO
01
922458646
COLORADO DRIVERS LICENSE
CO
Enumeration date
05/06/2021
Last updated
05/06/2021
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