Provider Demographics
NPI:1497915706
Name:FOSTER, DEBRA VELETA (MAC, LAC, LPC)
Entity Type:Individual
Prefix:MS
First Name:DEBRA
Middle Name:VELETA
Last Name:FOSTER
Suffix:
Gender:F
Credentials:MAC, LAC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5921 MIDDLEFIELD RD STE 100
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80123-2860
Mailing Address - Country:US
Mailing Address - Phone:303-515-0987
Mailing Address - Fax:720-726-7745
Practice Address - Street 1:5921 MIDDLEFIELD RD STE 100
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80123-2860
Practice Address - Country:US
Practice Address - Phone:615-441-8880
Practice Address - Fax:615-441-8565
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-10
Last Update Date:2019-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO38101YA0400X
CO5074101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1503793Medicaid