Provider Demographics
NPI:1528198165
Name:SMITH, KRISTEN RANEE (BA)
Entity Type:Individual
Prefix:
First Name:KRISTEN
Middle Name:RANEE
Last Name:SMITH
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1642 BISCAY CIR
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80011-5221
Mailing Address - Country:US
Mailing Address - Phone:720-859-0622
Mailing Address - Fax:
Practice Address - Street 1:1450 S ASH ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80222-3629
Practice Address - Country:US
Practice Address - Phone:303-759-2673
Practice Address - Fax:303-759-1830
Is Sole Proprietor?:No
Enumeration Date:2007-03-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health