Search › Colorado › 101YP2500X
Jeffrey Derry, LPC
NPI 1528359734 · on the registry since 2011
Practice
- Address
- 350 Lyckman Pl
Fountain, CO 80817 - Phone
- (719) 632-5700
- Clinicians at this address
- 11
Additional practice sites
- 2935 Bagnell Dam Blvd, Lake Ozark, MO
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Also registered as
- 101YM0800X
- Licence states on file
- MO, CO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-03-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado