Provider Demographics
NPI:1962632117
Name:DAY-GLOE, KRISTA (LCSW)
Entity Type:Individual
Prefix:
First Name:KRISTA
Middle Name:
Last Name:DAY-GLOE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5606 OLDE WADSWORTH BLVD STE 203
Mailing Address - Street 2:
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80002-2546
Mailing Address - Country:US
Mailing Address - Phone:541-217-1470
Mailing Address - Fax:503-961-0176
Practice Address - Street 1:5606 OLDE WADSWORTH BLVD STE 203
Practice Address - Street 2:
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80002-2546
Practice Address - Country:US
Practice Address - Phone:541-217-1470
Practice Address - Fax:503-961-0176
Is Sole Proprietor?:No
Enumeration Date:2009-07-22
Last Update Date:2016-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS7432104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker