Individual provider · Type 1 NPI

Bridget Teal Derkash, LPC, LAC

Professional Counselor · Basalt, CO

NPI number 1285428532 Active

Practice location

PO Box 1115
Basalt, CO 81621-1115

Call (970) 924-0703 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XACD.0001797 (CO)
Professional Counselor Primary 101YP2500XLPC.0014689 (CO)

Professional Counselor: Definition to come...

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About NPI 1285428532

Bridget Teal Derkash, LPC, LAC's National Provider Identifier is 1285428532, issued on Apr 9, 2025. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Basalt, CO. The record was last updated on Apr 9, 2025.