Healthcare Provider Details

I. General information

NPI: 1063273167
Provider Name (Legal Business Name): ABIGAIL CHRISTINE CUTLER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/17/2024
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7430 E CALEY AVE STE 125E
CENTENNIAL CO
80111-6715
US

IV. Provider business mailing address

7430 E CALEY AVE STE 125E
CENTENNIAL CO
80111-6715
US

V. Phone/Fax

Practice location:
  • Phone: 303-502-6043
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPCC.0021626
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number178.019749
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: