Healthcare Provider Details

I. General information

NPI: 1992470918
Provider Name (Legal Business Name): DEBORAH LOUISE ZUNIGA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/11/2021
Last Update Date: 08/11/2021
Certification Date: 08/11/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1633 FILLMORE ST # 207
DENVER CO
80206-1514
US

IV. Provider business mailing address

9340 E CENTER AVE APT 6C
DENVER CO
80247-1410
US

V. Phone/Fax

Practice location:
  • Phone: 720-335-3194
  • Fax:
Mailing address:
  • Phone: 172-035-9999
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMFT.0001387
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: