Healthcare Provider Details

I. General information

NPI: 1831024314
Provider Name (Legal Business Name): DEBORAH KAYE DEJAC LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/16/2026
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10158 S PARKER RD STE 109
PARKER CO
80138-9801
US

IV. Provider business mailing address

22545 E ROCKY TOP PL
AURORA CO
80016-7927
US

V. Phone/Fax

Practice location:
  • Phone: 720-500-3308
  • Fax:
Mailing address:
  • Phone: 720-500-3308
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0022031
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: