Individual
DANIELLE DE BOER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3715 PARKMOOR VILLAGE DR, COLORADO SPRINGS, CO 80917-6253
(719) 540-2127
Mailing address
520 N FRANKLIN ST, COLORADO SPRINGS, CO 80903-3013
(423) 280-2156
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPCC.0017191
CO
101YA0400X
Addiction (Substance Use Disorder) Counselor
ACD.0001368
CO
Other
Enumeration date
10/29/2019
Last updated
06/30/2024
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