Provider Demographics
NPI:1316088461
Name:LEE, CHRISTIE ANNE (LPC, MFT, MFC)
Entity type:Individual
Prefix:MS
First Name:CHRISTIE
Middle Name:ANNE
Last Name:LEE
Suffix:
Gender:F
Credentials:LPC, MFT, MFC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 E RAMONA AVE
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80906-2209
Mailing Address - Country:US
Mailing Address - Phone:719-243-1821
Mailing Address - Fax:719-633-5984
Practice Address - Street 1:2135 SOUTHGATE RD
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80906-2605
Practice Address - Country:US
Practice Address - Phone:719-633-4114
Practice Address - Fax:719-633-5984
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO433101YP2500X
CO642101YP2500X
CA36231101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional