Provider Demographics
NPI:1114238342
Name:LUJAN, KRISTINA WOLFE (MA, LPC)
Entity Type:Individual
Prefix:
First Name:KRISTINA
Middle Name:WOLFE
Last Name:LUJAN
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:KRISTINA
Other - Middle Name:M
Other - Last Name:WOLFE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, LPC
Mailing Address - Street 1:720 S COLORADO BLVD STE 610S
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80246-1942
Mailing Address - Country:US
Mailing Address - Phone:303-653-6604
Mailing Address - Fax:
Practice Address - Street 1:720 S COLORADO BLVD STE 610S
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80246-1942
Practice Address - Country:US
Practice Address - Phone:303-653-6604
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-22
Last Update Date:2013-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO12151101Y00000X, 101YA0400X, 101YM0800X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health