Provider Demographics
NPI:1629506050
Name:NAVARRO, BEATRIZ CHRYSTAL (MA, NCC, LPP, LPC)
Entity Type:Individual
Prefix:
First Name:BEATRIZ
Middle Name:CHRYSTAL
Last Name:NAVARRO
Suffix:
Gender:F
Credentials:MA, NCC, LPP, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 FOUR MILE PKWY
Mailing Address - Street 2:
Mailing Address - City:CANON CITY
Mailing Address - State:CO
Mailing Address - Zip Code:81212-9114
Mailing Address - Country:US
Mailing Address - Phone:719-276-7599
Mailing Address - Fax:719-276-7507
Practice Address - Street 1:700 FOUR MILE PKWY
Practice Address - Street 2:
Practice Address - City:CANON CITY
Practice Address - State:CO
Practice Address - Zip Code:81212
Practice Address - Country:US
Practice Address - Phone:719-276-7599
Practice Address - Fax:719-276-7507
Is Sole Proprietor?:No
Enumeration Date:2017-05-30
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0015044101Y00000X
CO0001457101Y00000X
CO0014650101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor