Provider Demographics
NPI:1528481520
Name:CRESPO, CHAVONE (LHMC, LPC)
Entity type:Individual
Prefix:
First Name:CHAVONE
Middle Name:
Last Name:CRESPO
Suffix:
Gender:F
Credentials:LHMC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2301 BLAKE ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80205-2101
Mailing Address - Country:US
Mailing Address - Phone:347-819-2162
Mailing Address - Fax:212-867-7515
Practice Address - Street 1:2301 BLAKE ST STE 267
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80205-2101
Practice Address - Country:US
Practice Address - Phone:347-819-2162
Practice Address - Fax:303-265-9264
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-27
Last Update Date:2022-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007231101YM0800X
FLTPMC1532101YM0800X
CO0015090101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health