| Doctor Name: | SUSAN KAYE DEBOER |
| NPI Number: | 1003939141 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | 1986 |
| Business Practice Address: | 6075 S Quebec St Suite 202 Centennial, CO - 801114533 |
| Business Phone Number: | 3034897915 |
| Business Fax Number: | |
| Mailing Address: | 5769 Daniels Gate Pl, CASTLE ROCK |
| State: | CO |
| Postal Code: | 801089446 |
| Phone Number: | 3039860477 |
| Fax Number: | |
| NPI Enumeration Date: | 04/06/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 1986 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |