Provider Demographics
NPI:1174770416
Name:SORDEN, CHRISTINE MARIE (MA, LPC)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:MARIE
Last Name:SORDEN
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7035 CAMPUS DR STE 806
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80920-6502
Mailing Address - Country:US
Mailing Address - Phone:719-351-3155
Mailing Address - Fax:877-225-5992
Practice Address - Street 1:7035 CAMPUS DR STE 806
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80920-6502
Practice Address - Country:US
Practice Address - Phone:719-351-3155
Practice Address - Fax:877-225-5992
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-19
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO4835101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional