Individual
DOREEN ANN DEROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC, CACIII
Contact information
Practice address
179 PARKSIDE DRIVE, COLORADO SPRINGS, CO 80910
(719) 572-6100
(719) 447-4792
Mailing address
220 RUSKIN DRIVE, COLORADO SPRINGS, CO 80910
(719) 572-6100
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
6486
CO
101YP2500X
Professional Counselor
Primary
LPC.0006323
CO
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
03/02/2007
Last updated
01/23/2015
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