Provider Demographics
NPI:1770905648
Name:JOY, KRISTEN
Entity type:Individual
Prefix:
First Name:KRISTEN
Middle Name:
Last Name:JOY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3773 E CHERRY CREEK NORTH DR
Mailing Address - Street 2:SUITE 901
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80209-3804
Mailing Address - Country:US
Mailing Address - Phone:303-329-3105
Mailing Address - Fax:303-394-2397
Practice Address - Street 1:3773 E CHERRY CREEK NORTH DR
Practice Address - Street 2:SUITE 901
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80209-3804
Practice Address - Country:US
Practice Address - Phone:303-329-3105
Practice Address - Fax:303-394-2397
Is Sole Proprietor?:No
Enumeration Date:2014-01-13
Last Update Date:2014-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2689101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)