Provider Demographics
NPI:1043595671
Name:SPOTTED ELK, CHRISTINE LYNNE (LPC)
Entity type:Individual
Prefix:MS
First Name:CHRISTINE
Middle Name:LYNNE
Last Name:SPOTTED ELK
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 362
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:SD
Mailing Address - Zip Code:57062-0362
Mailing Address - Country:US
Mailing Address - Phone:605-670-3501
Mailing Address - Fax:
Practice Address - Street 1:185 ROADRUNNER DR
Practice Address - Street 2:
Practice Address - City:SEDONA
Practice Address - State:AZ
Practice Address - Zip Code:86336-3763
Practice Address - Country:US
Practice Address - Phone:844-900-1575
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-14
Last Update Date:2025-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC-22464101YP2500X
SDLPC7114101YM0800X
NE2576101YP2500X
NE2375101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health