Provider Demographics
NPI:1932406840
Name:WELLS, CHRISTOPHER EUGENE (LMFT, CAC II)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:EUGENE
Last Name:WELLS
Suffix:
Gender:M
Credentials:LMFT, CAC II
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:461 S HOLLAND CT
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80226-2812
Mailing Address - Country:US
Mailing Address - Phone:720-962-9090
Mailing Address - Fax:
Practice Address - Street 1:461 S HOLLAND CT
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80226-2812
Practice Address - Country:US
Practice Address - Phone:720-962-9090
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-02-13
Last Update Date:2011-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO7310101YA0400X
CO938106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)