Provider Demographics
NPI:1609911163
Name:VANDERDOES, DIANNA K (MA , LPC ,)
Entity type:Individual
Prefix:MS
First Name:DIANNA
Middle Name:K
Last Name:VANDERDOES
Suffix:
Gender:F
Credentials:MA , LPC ,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2857 S OLATHE WAY
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80013-1935
Mailing Address - Country:US
Mailing Address - Phone:303-699-2036
Mailing Address - Fax:
Practice Address - Street 1:1810 S COLUMBINE ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80210-3407
Practice Address - Country:US
Practice Address - Phone:303-744-7371
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-21
Last Update Date:2023-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
COLPC-4248101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health