Provider Demographics
NPI:1952648131
Name:BOCK, KRISTEN (LPC, LCAS, NCC, SEP)
Entity Type:Individual
Prefix:
First Name:KRISTEN
Middle Name:
Last Name:BOCK
Suffix:
Gender:F
Credentials:LPC, LCAS, NCC, SEP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2008 W 120TH AVE STE A6
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80234-2447
Mailing Address - Country:US
Mailing Address - Phone:720-727-0506
Mailing Address - Fax:
Practice Address - Street 1:2008 W 120TH AVE STE A6
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80234-2447
Practice Address - Country:US
Practice Address - Phone:720-727-0506
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-09
Last Update Date:2021-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X
COLPC.0014844101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor