DERRICK SHAIN

BOULDER, CO
NPI1740879410
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2021-01-15
Last Update Date2021-01-15
Business Address
DERRICK SHAIN Psychotherapist
1650 38TH ST STE 100E
BOULDER, CO 80301-2624
Phone number: 660-383-2641
Mailing Address
DERRICK SHAIN Psychotherapist
620 GRANDVIEW MDWS DR UNIT F205
LONGMONT, CO 80503-8966
Phone number: 660-383-2641
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