Provider Demographics
NPI:1366759508
Name:TORNROSE, CHRISTINE NOEL (LPC, LAC)
Entity type:Individual
Prefix:MRS
First Name:CHRISTINE
Middle Name:NOEL
Last Name:TORNROSE
Suffix:
Gender:F
Credentials:LPC, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:357 S. MCCASLIN BLVD.
Mailing Address - Street 2:SUITE 200
Mailing Address - City:LOUISVILLE
Mailing Address - State:CO
Mailing Address - Zip Code:80027
Mailing Address - Country:US
Mailing Address - Phone:720-891-1573
Mailing Address - Fax:303-439-0707
Practice Address - Street 1:357 S. MCCASLIN BLVD.
Practice Address - Street 2:SUITE 200
Practice Address - City:LOUISVILLE
Practice Address - State:CO
Practice Address - Zip Code:80027
Practice Address - Country:US
Practice Address - Phone:720-891-1573
Practice Address - Fax:303-439-0707
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-09
Last Update Date:2015-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO314101YA0400X
CO5805101Y00000X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional