Provider Demographics
NPI:1912887878
Name:ULLSTRUP, KRIS (LMFT)
Entity type:Individual
Prefix:
First Name:KRIS
Middle Name:
Last Name:ULLSTRUP
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3840 N YORK ST STE 225
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80205-3536
Mailing Address - Country:US
Mailing Address - Phone:970-988-7711
Mailing Address - Fax:
Practice Address - Street 1:3840 N YORK ST STE 225
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80205-3536
Practice Address - Country:US
Practice Address - Phone:970-988-7711
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-03
Last Update Date:2025-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO811106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist