Healthcare Provider Details

I. General information

NPI: 1215847595
Provider Name (Legal Business Name): CARINA NICOLE PUNSAL LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9200 W CROSS DR STE 421
LITTLETON CO
80123-0760
US

IV. Provider business mailing address

4680 W MINERAL DR UNIT 1034
LITTLETON CO
80128-2594
US

V. Phone/Fax

Practice location:
  • Phone: 720-807-8952
  • Fax:
Mailing address:
  • Phone: 760-221-6668
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPCC.0023671
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: