Basic Information
| Provider Information | |||||||||
| NPI: | 1144388489 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | DEINES | ||||||||
| FirstName: | STEVEN | ||||||||
| MiddleName: | A | ||||||||
| NamePrefix: | MR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | LAC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2465 SOUTH DOWNING ST | ||||||||
| Address2: | SUITE 110 | ||||||||
| City: | DENVER | ||||||||
| State: | CA | ||||||||
| PostalCode: | 80210 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3037785774 | ||||||||
| FaxNumber: | 3037782436 | ||||||||
| Practice Location | |||||||||
| Address1: | 2465 SOUTH DOWNING ST | ||||||||
| Address2: | SUITE 110 | ||||||||
| City: | DENVER | ||||||||
| State: | CA | ||||||||
| PostalCode: | 80210 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3037785774 | ||||||||
| FaxNumber: | 3037782436 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/05/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101Y00000X | 69 | CO | Y | Behavioral Health & Social Service Providers | Counselor |
No ID Information.