Provider Demographics
NPI:1518020866
Name:SPRAGUE, CHRISTINE L (LPC)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:L
Last Name:SPRAGUE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 S CHERRY ST
Mailing Address - Street 2:SUITE 910
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80246-1702
Mailing Address - Country:US
Mailing Address - Phone:303-815-0553
Mailing Address - Fax:303-500-5464
Practice Address - Street 1:600 S CHERRY ST
Practice Address - Street 2:SUITE 910
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80246-1702
Practice Address - Country:US
Practice Address - Phone:303-815-0553
Practice Address - Fax:303-500-5464
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-18
Last Update Date:2016-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X
CO6415101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor