Provider Demographics
NPI:1912223405
Name:CLARKE, CHRISTA (MA, LPC)
Entity Type:Individual
Prefix:
First Name:CHRISTA
Middle Name:
Last Name:CLARKE
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:CHRISTA
Other - Middle Name:
Other - Last Name:KAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5310 DTC PKWY STE I
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-3010
Mailing Address - Country:US
Mailing Address - Phone:303-669-9698
Mailing Address - Fax:
Practice Address - Street 1:5310 DTC PKWY STE I
Practice Address - Street 2:
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-3010
Practice Address - Country:US
Practice Address - Phone:303-669-9698
Practice Address - Fax:303-942-5053
Is Sole Proprietor?:No
Enumeration Date:2010-04-09
Last Update Date:2022-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health