Provider Demographics
NPI:1093105264
Name:CHRISTENSEN, KIRSTEN (LPC)
Entity Type:Individual
Prefix:
First Name:KIRSTEN
Middle Name:
Last Name:CHRISTENSEN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1420 W CANAL CT
Mailing Address - Street 2:STE. 60
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80120-5655
Mailing Address - Country:US
Mailing Address - Phone:303-997-0337
Mailing Address - Fax:720-294-0120
Practice Address - Street 1:1420 W CANAL CT
Practice Address - Street 2:STE. 60
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80120-5655
Practice Address - Country:US
Practice Address - Phone:303-997-0337
Practice Address - Fax:720-294-0120
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-27
Last Update Date:2015-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO3317101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health