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NPI Code Detail

MEDICARE: MS. CHRISTINA CHARIS KONCSOL

MEDICARE:  MS. CHRISTINA CHARIS KONCSOL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional CounselorLPC.0023912CO

General Provider Information

NPI Number : 1417653916
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CHRISTINA CHARIS KONCSOL
Provider Business Mailing Address
First Line : 1465 KELLY JOHNSON BLVD STE 330
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80920-3983
Country : US
Telephone Number : 719-362-0796
Fax Number :
Provider Business Practice Location Address
First Line : 1465 KELLY JOHNSON BLVD STE 330
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80920-3983
Country : US
Telephone Number : 719-362-0796
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/06/2023
Last Update Date : 06/01/2026

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Directions to “ MS. CHRISTINA CHARIS KONCSOL ” Practice Location

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