Individual
MRS. DESTA MEKLIT TAYE-CHANNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4770 E ILIFF AVE, SUITE 116, DENVER, CO 80222-6061
(303) 740-1975
Mailing address
4171 S VERBENA ST, DENVER, CO 80237-1747
(303) 740-1975
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4540
CO
Other
Enumeration date
09/30/2008
Last updated
09/30/2008
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