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1396524245
JAY F DEROSA
COLORADO SPRINGS, CO
NPI
1396524245
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: CO LPC.0019830)
Enumeration Date
2023-09-28
Last Update Date
2023-09-28
Business Address
JAY F DEROSA MA, LPC
179 S PARKSIDE DR
COLORADO SPRINGS, CO 80910-3130
Phone number: 719-572-6100
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Mailing Address
JAY F DEROSA MA, LPC
1795 JET WING DR
COLORADO SPRINGS, CO 80916-2332
Phone number: 719-572-6100
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