Provider Demographics
NPI:1053631002
Name:MOK-LAMME, CHRISTINE KA-PO (PHD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:KA-PO
Last Name:MOK-LAMME
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:KA PO
Other - Middle Name:
Other - Last Name:MOK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:951 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81501-3538
Mailing Address - Country:US
Mailing Address - Phone:970-985-8161
Mailing Address - Fax:970-248-9006
Practice Address - Street 1:951 MAIN ST
Practice Address - Street 2:
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81501-3538
Practice Address - Country:US
Practice Address - Phone:970-985-8161
Practice Address - Fax:970-248-9006
Is Sole Proprietor?:No
Enumeration Date:2010-06-01
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO4039103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical