Provider Demographics
NPI:1639616709
Name:CARSTEN, PATRICIA (MA; LPC)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:
Last Name:CARSTEN
Suffix:
Gender:F
Credentials:MA; LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1130 BELFORD AVE
Mailing Address - Street 2:
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81501-3137
Mailing Address - Country:US
Mailing Address - Phone:970-812-3094
Mailing Address - Fax:970-243-4235
Practice Address - Street 1:1130 BELFORD AVE
Practice Address - Street 2:
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81501-3137
Practice Address - Country:US
Practice Address - Phone:708-123-0949
Practice Address - Fax:970-243-4235
Is Sole Proprietor?:No
Enumeration Date:2017-01-26
Last Update Date:2019-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
106S00000X
COLPC.0015797101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO1639616709OtherNPPES