Provider Demographics
NPI:1811064173
Name:LEEMAN, CHRIS HOWARD (LMFT /HPT)
Entity type:Individual
Prefix:
First Name:CHRIS
Middle Name:HOWARD
Last Name:LEEMAN
Suffix:
Gender:M
Credentials:LMFT /HPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:703 MINNEQUA AVE
Mailing Address - Street 2:
Mailing Address - City:PUEBLO
Mailing Address - State:CO
Mailing Address - Zip Code:81004-3721
Mailing Address - Country:US
Mailing Address - Phone:719-251-9606
Mailing Address - Fax:
Practice Address - Street 1:703 MINNEQUA AVE
Practice Address - Street 2:
Practice Address - City:PUEBLO
Practice Address - State:CO
Practice Address - Zip Code:81004-3721
Practice Address - Country:US
Practice Address - Phone:719-251-9606
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-29
Last Update Date:2016-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO918106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist