Provider Demographics
NPI:1932074598
Name:THIRY, DONALD ROSS
Entity type:Individual
Prefix:
First Name:DONALD
Middle Name:ROSS
Last Name:THIRY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6362 S MALAYA ST
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80016-2649
Mailing Address - Country:US
Mailing Address - Phone:650-201-9968
Mailing Address - Fax:
Practice Address - Street 1:12510 E ILIFF AVE STE 230
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-5312
Practice Address - Country:US
Practice Address - Phone:303-732-6881
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-06
Last Update Date:2025-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COADDC.0000322101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)