Provider Demographics
NPI:1881054070
Name:TURNER, KRISTA
Entity type:Individual
Prefix:
First Name:KRISTA
Middle Name:
Last Name:TURNER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3603 E 16TH AVE
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80206-1812
Mailing Address - Country:US
Mailing Address - Phone:720-203-6591
Mailing Address - Fax:
Practice Address - Street 1:1407 LARIMER ST
Practice Address - Street 2:205
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80202-1747
Practice Address - Country:US
Practice Address - Phone:720-408-5417
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-01
Last Update Date:2016-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CONLC.0011589101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health