Provider Demographics
NPI:1386151074
Name:RAY-SAELEE, CHRISTINE ELYSE
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:ELYSE
Last Name:RAY-SAELEE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11488 E AMHERST CIR S
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-3047
Mailing Address - Country:US
Mailing Address - Phone:314-441-9959
Mailing Address - Fax:
Practice Address - Street 1:11488 E AMHERST CIR S
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-3047
Practice Address - Country:US
Practice Address - Phone:314-441-9959
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-04
Last Update Date:2022-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
COLPC.0017354101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health