Provider Demographics
NPI:1710048442
Name:CHAMPEAU, KRISTEL LYNN (LPC)
Entity Type:Individual
Prefix:MRS
First Name:KRISTEL
Middle Name:LYNN
Last Name:CHAMPEAU
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 1:6767 S SPRUCE ST STE 105
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80112-1284
Mailing Address - Country:US
Mailing Address - Phone:720-468-0059
Mailing Address - Fax:720-638-8942
Practice Address - Street 1:6767 S SPRUCE ST STE 105
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112-1284
Practice Address - Country:US
Practice Address - Phone:720-468-0059
Practice Address - Fax:720-638-8942
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-13
Last Update Date:2021-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO3721101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health