Provider Demographics
NPI:1699741967
Name:DEKRAAI, ZARENE (MA, LPC, CACIII)
Entity type:Individual
Prefix:MS
First Name:ZARENE
Middle Name:
Last Name:DEKRAAI
Suffix:
Gender:F
Credentials:MA, LPC, CACIII
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1650 COCHRANE CIRCLE, EVANS 4W
Mailing Address - Street 2:
Mailing Address - City:FT. CARSON
Mailing Address - State:CO
Mailing Address - Zip Code:80913-4604
Mailing Address - Country:US
Mailing Address - Phone:719-526-2862
Mailing Address - Fax:719-526-0608
Practice Address - Street 1:1650 COCHRANE CIRCLE,
Practice Address - Street 2:4 WEST
Practice Address - City:FT. CARSON
Practice Address - State:CO
Practice Address - Zip Code:80913-4604
Practice Address - Country:US
Practice Address - Phone:719-526-2862
Practice Address - Fax:719-526-0608
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2156101YA0400X
CO2636101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional