Kristina L Coonce, MA, LPC

Individual provider Active NPI Professional Counselor · Frederick, CO

NPI 1073894770 · NPPES record last updated Mar 8, 2024

Key facts

NPI
1073894770
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
0013667 (CO)
Practice address
7403 Farmdale St
Frederick, CO 80530-7142
Phone
(920) 420-5575
NPI assigned
Sep 8, 2011
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
0013667COMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0013667 CO Yes

Addresses

Primary practice location

7403 Farmdale St
Frederick, CO 80530-7142

Mailing address

7403 Farmdale St
Frederick, CO 80530-7142
Phone (920) 420-5575

Other providers in Frederick, CO

All providers in Frederick, CO · Professional Counselor in Colorado

Sources for this page

Verify at the official NPI Registry.