Individual
CHRISTINE NELL HEIKKENEN-BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRC, LPC, ACD
Contact information
Practice address
700 FOUR MILE PKWY, CANON CITY, CO 81212-9114
(540) 260-5559
Mailing address
SOUTHERN PEAKS REGIONAL TREATMENT CENTER, 700 FOUR MILE PARKWAY, CANON CITY, CO 81212-1101
(540) 260-5559
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC101YP2500X
CO
Other
Enumeration date
06/05/2020
Last updated
03/24/2024
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