Individual
MISS CHRISTINE GILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC, LAC
Contact information
Practice address
3595 S TELLER ST, LAKEWOOD, CO 80235-2014
(720) 462-9224
Mailing address
4851 INDEPENDENCE ST, WHEAT RIDGE, CO 80033-6715
(720) 462-9224
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ACB.0008475
CO
101YA0400X
Addiction (Substance Use Disorder) Counselor
ACD.0001545
CO
101YP2500X
Professional Counselor
Primary
LPC.0018258
CO
Other
Enumeration date
04/25/2019
Last updated
06/15/2022
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