Rena Susan Derezin, MA, LPC, NCC is a
Counselor - Professional based in Black Hawk, Colorado. Rena Susan Derezin is licensed to practice in Colorado (license number 5066) and her current practice location is
135 Clear Creek Street, Black Hawk, Colorado. She can be reached at her office (for appointments etc.) via phone at
(303) 807-2750.
NPI number for Rena Susan Derezin is 1790923670 and her current mailing address is Po Box 139, Silverthorne, Colorado. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1790923670.
Healthcare Provider's Profile
Full Name | Rena Susan Derezin |
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Gender | Female |
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Speciality | Counselor - Professional |
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Location | 135 Clear Creek Street, Black Hawk, Colorado |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1790923670
- Provider Enumeration Date: 01/30/2009
- Last Update Date: 08/25/2009
Medical Identifiers
Medical identifiers for Rena Susan Derezin such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1790923670 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | 5066 (Colorado) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Rena Susan Derezin is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Rena Susan Derezin, MA, LPC, NCC Po Box 139, Silverthorne, CO 80498-0139 Ph: (303) 807-2750 | Rena Susan Derezin, MA, LPC, NCC 135 Clear Creek Street, Black Hawk, CO 80422-0418 Ph: (303) 807-2750 |
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