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Individual

MR. KEVIN DEIBERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
BA,BS,CACII

Contact information

Practice address
10039 DEER CREEK ST, HIGHLANDS RANCH, CO 80129-4333
(303) 470-1185
Mailing address
10039 DEER CREEK ST, HIGHLANDS RANCH, CO 80129-4333

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ACA-6688
CO
101YM0800X
Mental Health Counselor

Other

Enumeration date
04/07/2011
Last updated
04/07/2011
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