Provider Demographics
NPI:1538200845
Name:O'CONNOR, CRISTEN K (MA, LPC, CAC III)
Entity type:Individual
Prefix:MS
First Name:CRISTEN
Middle Name:K
Last Name:O'CONNOR
Suffix:
Gender:F
Credentials:MA, LPC, CAC III
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2140 ACADEMY CIR STE F
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80909-1673
Mailing Address - Country:US
Mailing Address - Phone:719-570-1225
Mailing Address - Fax:719-570-1331
Practice Address - Street 1:2140 ACADEMY CIR STE F
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80909-1673
Practice Address - Country:US
Practice Address - Phone:719-570-1225
Practice Address - Fax:719-570-1331
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO4410101YA0400X
CO1978101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health