Provider Demographics
NPI:1225090996
Name:OSTROM-CONDOJANI, KJERSTEN E (MA,CAC III)
Entity Type:Individual
Prefix:MRS
First Name:KJERSTEN
Middle Name:E
Last Name:OSTROM-CONDOJANI
Suffix:
Gender:F
Credentials:MA,CAC III
Other - Prefix:
Other - First Name:KJERSTEN
Other - Middle Name:E
Other - Last Name:CONDOJANI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MA, CAC III
Mailing Address - Street 1:8000 S LINCOLN ST
Mailing Address - Street 2:SUITE #210
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80122-2714
Mailing Address - Country:US
Mailing Address - Phone:303-730-1212
Mailing Address - Fax:303-730-3740
Practice Address - Street 1:8000 S LINCOLN ST
Practice Address - Street 2:SUITE #210
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80122-2714
Practice Address - Country:US
Practice Address - Phone:303-730-1212
Practice Address - Fax:303-730-3740
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5769101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)