Individual
DERRICK MICHAEL GILDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1290 S POTOMAC ST, AURORA, CO 80012-4524
(303) 745-1281
(303) 671-2854
Mailing address
421 ZANG ST, LAKEWOOD, CO 80228-1052
(303) 989-4357
(303) 988-2017
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6514
CO
Other
Enumeration date
06/26/2012
Last updated
06/26/2012
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