Individual
CHRISTINE COLBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, NCC, CCTP
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-17895
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17895
LICENSED PROFESSIONAL COUNSELOR (LPC)
AZ
01
—
250785
NATIONAL CERTIFIED COUNSELOR
AZ
01
—
CCTP
CERTIFIED CLINICAL TRAUMA PROFESSIONAL
AZ
Enumeration date
12/08/2009
Last updated
11/15/2019
Update your record
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