MEDICARE: HEATHER CHRISTENSEN LPCC

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
1	101YM0800X	Mental Health Counselor	LPCC.0017296	CO

General Provider Information

NPI Number	:	1962020362
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEATHER CHRISTENSEN LPCC

Provider Business Mailing Address
First Line	:	PO BOX 12277
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80212-0277
Country	:	US
Telephone Number	:	720-515-0638
Fax Number	:

Provider Business Practice Location Address
First Line	:	1155 N SHERMAN ST STE 314
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80203-2295
Country	:	US
Telephone Number	:	720-515-0638
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/12/2020
Last Update Date	:	07/12/2020

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