Provider Demographics
NPI:1568591451
Name:O'DONNELL, CHRISTINE DONEGAN (LPC)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTINE
Middle Name:DONEGAN
Last Name:O'DONNELL
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 1:1991 ANGELO DR
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80528-6374
Mailing Address - Country:US
Mailing Address - Phone:970-888-0070
Mailing Address - Fax:
Practice Address - Street 1:333 W DRAKE RD STE 43
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80526-2883
Practice Address - Country:US
Practice Address - Phone:970-888-0070
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-05
Last Update Date:2020-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.006349101YP2500X
CO6329101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL180.006349OtherLCPC