| NPI | 1801411681 |
|---|---|
| Former Legal Business Name | JANA DEARDORFF MA, LPC, |
| Former Legal Business Name | JANA DEARDORFF |
| Entity Type | Organization |
| Authorized Contact | JANA DEARDORFF Owner 719-400-8578 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2020-06-08 |
| Last Update Date | 2020-06-08 |