Provider Demographics
NPI:1225201890
Name:DI LEO, PETER J (LPC)
Entity Type:Individual
Prefix:MR
First Name:PETER
Middle Name:J
Last Name:DI LEO
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1515 E 9TH AVE
Mailing Address - Street 2:#301
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80218-3560
Mailing Address - Country:US
Mailing Address - Phone:303-620-5113
Mailing Address - Fax:303-832-5344
Practice Address - Street 1:1515 E 9TH AVE
Practice Address - Street 2:#306
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80218-3560
Practice Address - Country:US
Practice Address - Phone:303-620-5113
Practice Address - Fax:303-832-5344
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-03
Last Update Date:2008-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO#558101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional