Individual
JANA C DEARDORFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1843 AUSTIN BLUFFS PKWY, COLORADO SPRINGS, CO 80918
(719) 400-8578
(936) 271-4968
Mailing address
2214 AFTON WAY, COLORADO SPRINGS, CO 80909-2002
(719) 400-8578
(936) 271-4968
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
4549
SC
101YP2500X
Professional Counselor
14432
CO
101YP2500X
Professional Counselor
Primary
73664
TX
Other
Enumeration date
10/02/2006
Last updated
12/04/2018
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