Provider Demographics
NPI:1477548717
Name:CHEESMAN, KRISTEN C (LMFT, CFI)
Entity Type:Individual
Prefix:MS
First Name:KRISTEN
Middle Name:C
Last Name:CHEESMAN
Suffix:
Gender:F
Credentials:LMFT, CFI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1369 FOREST PARK CIRCLE #203
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:CO
Mailing Address - Zip Code:80026
Mailing Address - Country:US
Mailing Address - Phone:303-717-7630
Mailing Address - Fax:
Practice Address - Street 1:1369 FOREST PARK CIRCLE #203
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:CO
Practice Address - Zip Code:80026
Practice Address - Country:US
Practice Address - Phone:303-717-7630
Practice Address - Fax:303-717-7630
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-13
Last Update Date:2013-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO330106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist