Provider Demographics
NPI:1891312823
Name:JO, CHRISTY (MSW)
Entity type:Individual
Prefix:MRS
First Name:CHRISTY
Middle Name:
Last Name:JO
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1285 CENTAUR VILLAGE DR STE 100
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:CO
Mailing Address - Zip Code:80026-1231
Mailing Address - Country:US
Mailing Address - Phone:720-799-9246
Mailing Address - Fax:
Practice Address - Street 1:1285 CENTAUR VILLAGE DR STE 100
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:CO
Practice Address - Zip Code:80026-1231
Practice Address - Country:US
Practice Address - Phone:720-799-9246
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-25
Last Update Date:2020-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker