Provider Demographics
NPI:1699142919
Name:STRASSER, KRISTIN LEA (LPC)
Entity type:Individual
Prefix:
First Name:KRISTIN
Middle Name:LEA
Last Name:STRASSER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15165 CHELMSFORD ST
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80921-2505
Mailing Address - Country:US
Mailing Address - Phone:785-764-0175
Mailing Address - Fax:
Practice Address - Street 1:15165 CHELMSFORD ST
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80921-2505
Practice Address - Country:US
Practice Address - Phone:785-764-0175
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-24
Last Update Date:2020-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS2377101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional