Provider Demographics
NPI:1760684625
Name:GARRISON, CELESTINA J (MA, LPC)
Entity type:Individual
Prefix:
First Name:CELESTINA
Middle Name:J
Last Name:GARRISON
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7520 TOPANGO CT
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80920-4180
Mailing Address - Country:US
Mailing Address - Phone:719-351-5274
Mailing Address - Fax:
Practice Address - Street 1:1295 KELLY JOHNSON BLVD STE 240
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80920-3963
Practice Address - Country:US
Practice Address - Phone:719-480-8848
Practice Address - Fax:719-941-8256
Is Sole Proprietor?:No
Enumeration Date:2007-06-04
Last Update Date:2025-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X
COLPC.0005316101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional