Provider Demographics
NPI:1730352022
Name:CHRISTIANSAN, KARIN SHIRLEY (MA, LPC, CAC I)
Entity type:Individual
Prefix:MS
First Name:KARIN
Middle Name:SHIRLEY
Last Name:CHRISTIANSAN
Suffix:
Gender:F
Credentials:MA, LPC, CAC I
Other - Prefix:
Other - First Name:KARIN
Other - Middle Name:SHIRLEY
Other - Last Name:LEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, LPC, CACI
Mailing Address - Street 1:700 BROADWAY ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80273-6144
Mailing Address - Country:US
Mailing Address - Phone:866-621-0554
Mailing Address - Fax:
Practice Address - Street 1:700 BROADWAY ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80273-6144
Practice Address - Country:US
Practice Address - Phone:866-621-0554
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-08
Last Update Date:2016-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO6527101YA0400X
CO5868101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)