Organization
NORTH STAR COUNSELING & DEVELOPMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KRYSTOFFER LOREN BOWMAN LPC (CEO/LPC)
(719) 344-5378
Entity
Organization
Contact information
Practice address
5360 N ACADEMY BLVD STE 220, COLORADO SPRINGS, CO 80918-4038
(719) 985-8917
(719) 213-2484
Mailing address
5360 N ACADEMY BLVD STE 220, COLORADO SPRINGS, CO 80918-4038
(719) 985-8917
(719) 213-2484
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TF0000X
Family Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
—
—
163WN1003X
Nutrition Support Registered Nurse
—
—
171400000X
Health & Wellness Coach
—
—
171M00000X
Case Manager/Care Coordinator
—
—
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
225200000X
Physical Therapy Assistant
—
—
225700000X
Massage Therapist
—
—
225XM0800X
Mental Health Occupational Therapist
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
08/08/2022
Last updated
08/08/2022
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