Provider Demographics
NPI:1548090848
Name:SCHACK, CHRISTOPHER LYNN (LPC, LAC)
Entity type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:LYNN
Last Name:SCHACK
Suffix:
Gender:M
Credentials:LPC, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6207 DEVINNEY CIR
Mailing Address - Street 2:
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80004-6109
Mailing Address - Country:US
Mailing Address - Phone:303-775-9737
Mailing Address - Fax:
Practice Address - Street 1:5460 WARD RD STE 110
Practice Address - Street 2:
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80002-1828
Practice Address - Country:US
Practice Address - Phone:303-775-9737
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-02
Last Update Date:2024-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COACD.0002160101YA0400X
COLPC.0021040101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)