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Individual

MRS. CHARLINE ANN DESERTE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A.

Contact information

Practice address
1136 E STUART ST, BLDG 2, SUITE 2240, FORT COLLINS, CO 80525-1195
(970) 495-1068
(970) 419-0853
Mailing address
1136 E STUART ST, BLDG 2, SUITE 2240, FORT COLLINS, CO 80525-1195
(970) 495-1068
(970) 419-0853

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1848
CO

Other

Enumeration date
01/11/2010
Last updated
01/11/2010
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