Provider Demographics
NPI:1730566506
Name:PACHECO, CHRISTINA LYNN (LPC, LAC)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:LYNN
Last Name:PACHECO
Suffix:
Gender:F
Credentials:LPC, LAC
Other - Prefix:
Other - First Name:CHRISTINA
Other - Middle Name:LYNN
Other - Last Name:STONER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1805 S BELLAIRE ST STE 465-03
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80222-4305
Mailing Address - Country:US
Mailing Address - Phone:720-643-6685
Mailing Address - Fax:303-763-7511
Practice Address - Street 1:1805 S BELLAIRE ST STE 465-03
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80222-4305
Practice Address - Country:US
Practice Address - Phone:720-643-6685
Practice Address - Fax:303-763-7511
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-30
Last Update Date:2022-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COACD.0000600101YA0400X
COLPC.0013145101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)