Healthcare Provider Details

I. General information

NPI: 1487247433
Provider Name (Legal Business Name): CRISTA DEANNE LEININGER JAMES MSW, SWC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/19/2021
Last Update Date: 02/19/2021
Certification Date: 01/26/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2855 N SPEER BLVD
DENVER CO
80211-4239
US

IV. Provider business mailing address

1640 KIRKWOOD DR UNIT 2122
FORT COLLINS CO
80525-2038
US

V. Phone/Fax

Practice location:
  • Phone: 720-943-7080
  • Fax: 720-316-7577
Mailing address:
  • Phone: 970-381-6240
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: