Individual
KELLY M DEROOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
300 W BROADWAY STE 240, COUNCIL BLUFFS, IA 51503-9028
(402) 882-0583
(712) 254-8829
Mailing address
300 W BROADWAY STE 240, COUNCIL BLUFFS, IA 51503-9028
(402) 882-0583
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
001602
IA
Other
Enumeration date
05/28/2013
Last updated
01/18/2024
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