Provider Demographics
NPI:1730304759
Name:CHAMPNESS, APRIL MARIE WOLCHUK (MA)
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:MARIE WOLCHUK
Last Name:CHAMPNESS
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 58
Mailing Address - Street 2:
Mailing Address - City:NEDERLAND
Mailing Address - State:CO
Mailing Address - Zip Code:80466-0058
Mailing Address - Country:US
Mailing Address - Phone:303-853-3737
Mailing Address - Fax:303-637-0514
Practice Address - Street 1:30 S 3RD AVE
Practice Address - Street 2:
Practice Address - City:BRIGHTON
Practice Address - State:CO
Practice Address - Zip Code:80601-2008
Practice Address - Country:US
Practice Address - Phone:303-853-3738
Practice Address - Fax:303-637-0514
Is Sole Proprietor?:No
Enumeration Date:2007-04-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health