Healthcare Provider Details

I. General information

NPI: 1003632290
Provider Name (Legal Business Name): KRISTENE MARIE GUNS LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/03/2024
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 INVERNESS CT E STE 200C
ENGLEWOOD CO
80112-5322
US

IV. Provider business mailing address

6763 S DEXTER ST
CENTENNIAL CO
80122-2142
US

V. Phone/Fax

Practice location:
  • Phone: 720-260-4357
  • Fax:
Mailing address:
  • Phone: 804-387-6370
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCSW.09925469
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: