Provider Demographics
NPI:1275782096
Name:TALAGA MORGAN, CHRISTINE VICTORIA (MA, LPC)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTINE
Middle Name:VICTORIA
Last Name:TALAGA MORGAN
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1909 26TH ST STE 1D
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80302-5707
Mailing Address - Country:US
Mailing Address - Phone:303-775-1300
Mailing Address - Fax:303-449-1967
Practice Address - Street 1:1909 26TH ST STE 1D
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80302
Practice Address - Country:US
Practice Address - Phone:303-775-1300
Practice Address - Fax:303-449-1967
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-17
Last Update Date:2018-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO101YS0200X
CO2141101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool