Provider Demographics
NPI:1255422648
Name:DEMOSS, YVONNE (PHD, LPC, CACIII)
Entity type:Individual
Prefix:DR
First Name:YVONNE
Middle Name:
Last Name:DEMOSS
Suffix:
Gender:F
Credentials:PHD, LPC, CACIII
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6638 W. OTTAWA AVENUE, SUITE 170-3
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80128
Mailing Address - Country:US
Mailing Address - Phone:303-979-1972
Mailing Address - Fax:303-972-6641
Practice Address - Street 1:6638 W OTTAWA AVE STE 180
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80128-4566
Practice Address - Country:US
Practice Address - Phone:303-979-1972
Practice Address - Fax:303-972-6641
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-28
Last Update Date:2012-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1847101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health