Provider Demographics
NPI:1467992958
Name:CHRISTOPHER JOHN COUNSELING
Entity Type:Organization
Organization Name:CHRISTOPHER JOHN COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:KONIARCZYK
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:720-295-8657
Mailing Address - Street 1:1574 YORK ST
Mailing Address - Street 2:SUITE #103
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80206-1400
Mailing Address - Country:US
Mailing Address - Phone:720-295-8657
Mailing Address - Fax:
Practice Address - Street 1:1574 YORK ST
Practice Address - Street 2:SUITE #103
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80206-1400
Practice Address - Country:US
Practice Address - Phone:720-295-8657
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-02
Last Update Date:2017-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC.0012659251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health