Provider Demographics
NPI:1043677917
Name:DAUFELDT, DEBRA (MA, NCC)
Entity Type:Individual
Prefix:
First Name:DEBRA
Middle Name:
Last Name:DAUFELDT
Suffix:
Gender:F
Credentials:MA, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9427 SOUTHERN HILLS CIR
Mailing Address - Street 2:
Mailing Address - City:LONE TREE
Mailing Address - State:CO
Mailing Address - Zip Code:80124-3177
Mailing Address - Country:US
Mailing Address - Phone:303-662-1822
Mailing Address - Fax:
Practice Address - Street 1:9427 SOUTHERN HILLS CIR
Practice Address - Street 2:
Practice Address - City:LONE TREE
Practice Address - State:CO
Practice Address - Zip Code:80124-3177
Practice Address - Country:US
Practice Address - Phone:303-662-1822
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-24
Last Update Date:2016-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CONLC.0103417174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist