Provider Demographics
NPI:1205656931
Name:NIETO, CRISTINA MARIE (LPCC)
Entity type:Individual
Prefix:
First Name:CRISTINA
Middle Name:MARIE
Last Name:NIETO
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:945 S LIMA ST
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80012-3117
Mailing Address - Country:US
Mailing Address - Phone:512-789-6577
Mailing Address - Fax:
Practice Address - Street 1:945 S LIMA ST
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80012-3117
Practice Address - Country:US
Practice Address - Phone:512-789-6577
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-16
Last Update Date:2024-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPCC.0020156101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health