Individual
MRS. BILLIE JO DEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LAC
Contact information
Practice address
8801 LIPAN ST, THORNTON, CO 80260-4912
(303) 412-3946
Mailing address
8801 LIPAN ST, THORNTON, CO 80260-4912
(303) 412-3946
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
28
CO
101YM0800X
Mental Health Counselor
28
CO
Other
Enumeration date
02/15/2010
Last updated
02/15/2010
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