Provider Demographics
NPI:1255545505
Name:CHRISTIE, JOHN ERIC (MA, NCC)
Entity type:Individual
Prefix:MR
First Name:JOHN
Middle Name:ERIC
Last Name:CHRISTIE
Suffix:
Gender:M
Credentials:MA, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:19284 E. COTTONWOOD DR.
Mailing Address - Street 2:STE. 202
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80138
Mailing Address - Country:US
Mailing Address - Phone:303-593-0575
Mailing Address - Fax:303-840-0902
Practice Address - Street 1:19284 E. COTTONWOOD DR.
Practice Address - Street 2:STE. 202
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80138
Practice Address - Country:US
Practice Address - Phone:303-593-0575
Practice Address - Fax:303-840-0902
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health