Provider Demographics
NPI:1861905259
Name:SAGERE, CHRISTINE KAY (LPC, LAC)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:KAY
Last Name:SAGERE
Suffix:
Gender:F
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 1:1224 FRASER ST
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80011-7051
Mailing Address - Country:US
Mailing Address - Phone:720-933-3889
Mailing Address - Fax:
Practice Address - Street 1:1224 FRASER ST
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80011-7051
Practice Address - Country:US
Practice Address - Phone:720-933-3889
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-08
Last Update Date:2023-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO4522101YA0400X
CO16938101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty