Individual provider · Type 1 NPI
Rena Susan Derezin, M.A., L.P.C., N.C.C.
Professional Counselor · Black Hawk, CO
NPI number
1790923670
Active
Practice location
135 Clear Creek Street
Black Hawk, CO 80422-0418
Mailing address
PO Box 139
Silverthorne, CO 80498-0139
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 5066 (CO) |
Professional Counselor: Definition to come...
Another provider at this address
About NPI 1790923670
Rena Susan Derezin, M.A., L.P.C., N.C.C.'s National Provider Identifier is 1790923670, issued on Jan 30, 2009. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Black Hawk, CO. The record was last updated on Aug 25, 2009.