Provider Demographics
NPI:1487956348
Name:CONWAY, CHRISTOPHER J (MA, CAS)
Entity type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:J
Last Name:CONWAY
Suffix:
Gender:M
Credentials:MA, CAS
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Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6655 W JEWELL AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80232-7108
Mailing Address - Country:US
Mailing Address - Phone:303-975-1922
Mailing Address - Fax:303-975-1918
Practice Address - Street 1:6655 W JEWELL AVE STE 100
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80232-7108
Practice Address - Country:US
Practice Address - Phone:303-975-1922
Practice Address - Fax:303-975-1918
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-29
Last Update Date:2022-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COACC5501101YA0400X
CO5501101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)