Provider Demographics
NPI:1316103096
Name:HALL, CHRISTINE (LPC, COTA/L)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:
Last Name:HALL
Suffix:
Gender:F
Credentials:LPC, COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3879 E 120TH AVE UNIT 333
Mailing Address - Street 2:
Mailing Address - City:THORNTON
Mailing Address - State:CO
Mailing Address - Zip Code:80233-1658
Mailing Address - Country:US
Mailing Address - Phone:303-667-7501
Mailing Address - Fax:
Practice Address - Street 1:3879 E 120TH AVE UNIT 333
Practice Address - Street 2:
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80233-1658
Practice Address - Country:US
Practice Address - Phone:720-773-7845
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-01
Last Update Date:2025-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC.0020569101Y00000X, 101YP2500X
COOTA.0000474224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant