Provider Demographics
NPI:1376816298
Name:DELMONTE, DESIREE (THD, LMFT, LAC)
Entity Type:Individual
Prefix:
First Name:DESIREE
Middle Name:
Last Name:DELMONTE
Suffix:
Gender:F
Credentials:THD, LMFT, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18801 E MAINSTREET STE 180
Mailing Address - Street 2:
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80134-3477
Mailing Address - Country:US
Mailing Address - Phone:303-317-3088
Mailing Address - Fax:720-545-2106
Practice Address - Street 1:18801 E MAINSTREET STE 180
Practice Address - Street 2:
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80134-3477
Practice Address - Country:US
Practice Address - Phone:303-317-3088
Practice Address - Fax:720-545-2106
Is Sole Proprietor?:No
Enumeration Date:2012-02-23
Last Update Date:2016-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1004106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist