Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RENA SUSAN DEREZIN, M.A., L.P.C., N.C.C.
Active Sole ProprietorRENA SUSAN DEREZIN, M.A., L.P.C., N.C.C. is a Professional Counselor healthcare provider located in BLACK HAWK, Colorado. NPI 1790923670 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · BLACK HAWK, CO
Registration Details
- NPI Number
- 1790923670
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 30, 2009 (17.496098622402 yrs)
- Last Updated
- Aug 25, 2009
- License
-
5066 (CO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
135 CLEAR CREEK STREETBLACK HAWK, CO, 804220418Browse CO providers · Browse ZIP 80422
- Phone
- 3038072750
- Primary Specialty
-
Professional Counselor
101YP2500X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.