Provider Demographics
NPI:1326870353
Name:ROLAND, CHRISTOHPER KOPPER (LPCC)
Entity type:Individual
Prefix:MR
First Name:CHRISTOHPER
Middle Name:KOPPER
Last Name:ROLAND
Suffix:
Gender:M
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4195 DIVIDE DR
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80538-6140
Mailing Address - Country:US
Mailing Address - Phone:970-473-1944
Mailing Address - Fax:
Practice Address - Street 1:3003 E HARMONY RD STE 120
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80528-9625
Practice Address - Country:US
Practice Address - Phone:970-473-1944
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-19
Last Update Date:2024-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPCC.0018663101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health