MEDICARE: DESIREE DELMONTE TH.D, LMFT, LAC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	1004	CO

General Provider Information

NPI Number	:	1376816298
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DESIREE DELMONTE TH.D, LMFT, LAC

Provider Business Mailing Address
First Line	:	18801 E MAINSTREET STE 180
Second Line	:
City	:	PARKER
State	:	CO
Zip	:	80134-3477
Country	:	US
Telephone Number	:	303-317-3088
Fax Number	:	720-545-2106

Provider Business Practice Location Address
First Line	:	18801 E MAINSTREET STE 180
Second Line	:
City	:	PARKER
State	:	CO
Zip	:	80134-3477
Country	:	US
Telephone Number	:	303-317-3088
Fax Number	:	720-545-2106

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/23/2012
Last Update Date	:	12/01/2016

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