Provider Demographics
NPI:1942044243
Name:COLBURN, CRISTINA LEE (LPC, CRC)
Entity type:Individual
Prefix:
First Name:CRISTINA
Middle Name:LEE
Last Name:COLBURN
Suffix:
Gender:F
Credentials:LPC, CRC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7900 E ARROWHEAD PKWY APT 228
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57110-7017
Mailing Address - Country:US
Mailing Address - Phone:605-212-9975
Mailing Address - Fax:
Practice Address - Street 1:6000 W 41ST ST
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57106-3012
Practice Address - Country:US
Practice Address - Phone:605-504-0400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-21
Last Update Date:2025-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNCC05163101YM0800X
IA132941101YM0800X
SDMH30946101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health